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General NPI Number Information
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NPI Number | 1659556454
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Entity Type | Organization
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Legal Business Name | VINCENT F GIACALONE
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 466 OLD HOOK RD SUITE 24D
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City | EMERSON
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State | NJ
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Zip | 07630-1396
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Country | US
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Telephone | 201-261-0500
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Fax | 201-261-7905
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Provider Business Mailing Address
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Address Line | 466 OLD HOOK RD SUITE 24D
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City | EMERSON
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State | NJ
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Zip | 07630-1396
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Country | US
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Telephone | 201-261-0500
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Fax | 201-261-7905
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Authorized Official
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Title or Position | OWNER
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Name | DR. VINCENT GIACALONE
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Credential | DPM
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Telephone | 201-261-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 25MD001923
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License Number State | NJ
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