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General NPI Number Information
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NPI Number | 1649360694
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Entity Type | Individual
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Provider Name | SCOTT ANTHONY VINCI D.C., D.A.C.B.S.P.
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 1308 TOWNLINE RD
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City | HAUPPAUGE
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State | NY
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Zip | 11788-2803
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Country | US
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Telephone | 631-979-3613
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Fax | 631-979-2847
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Provider Business Mailing Address
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Address Line | 1308 TOWNLINE RD
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City | HAUPPAUGE
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State | NY
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Zip | 11788-2803
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Country | US
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Telephone | 631-979-3613
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Fax | 631-979-2847
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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 | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | X-004870-1
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License Number State | NY
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