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General NPI Number Information
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NPI Number | 1558562769
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Entity Type | Individual
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Provider Name | VINCENT PAUL BIRBIGLIA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6 MAIN ST
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City | HYANNIS
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State | MA
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Zip | 02601-3112
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Country | US
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Telephone | 508-775-2600
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Fax | 508-775-1437
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Provider Business Mailing Address
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Address Line | 24 EATON CT
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City | COTUIT
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State | MA
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Zip | 02635-2908
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Country | US
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Telephone | 508-420-9725
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 34861
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License Number State | MA
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