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General NPI Number Information
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NPI Number | 1578805917
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Entity Type | Organization
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Legal Business Name | VASCULAR CORRECTIONS PC
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 129 BROADWAY
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City | AMITYVILLE
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State | NY
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Zip | 11701-2729
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Country | US
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Telephone | 631-598-3463
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Fax | 516-598-4723
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Provider Business Mailing Address
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Address Line | 129 BROADWAY
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City | AMITYVILLE
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State | NY
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Zip | 11701-2729
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Country | US
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Telephone | 631-598-3463
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Fax | 516-598-4723
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RALPH F. CASELNOVA
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Credential | M.D.
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Telephone | 917-327-4740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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