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General NPI Number Information
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NPI Number | 1578366910
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Entity Type | Organization
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Legal Business Name | DOCTOR VICTOR GUADAGNINO MEDICAL PLLC
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 8120 15TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11228-3120
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Country | US
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Telephone | 718-331-2897
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Fax |
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Provider Business Mailing Address
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Address Line | 15 LORD AVE STE 1
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City | LAWRENCE
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State | NY
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Zip | 11559-1321
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VICTOR GUADAGNINO
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Credential |
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Telephone | 516-817-7093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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