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General NPI Number Information
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NPI Number | 1659758910
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Entity Type | Individual
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Provider Name | VINAI ARTYAMSOAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 3633 CORTEZ ROAD WEST, UNIT B-3
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City | BRADENTON
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State | FL
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Zip | 34210
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Country | US
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Telephone | 941-752-9302
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Fax |
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Provider Business Mailing Address
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Address Line | 3633 CORTEZ ROAD WEST, UNIT B-3
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City | BRADENTON
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State | FL
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Zip | 34210
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Country | US
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Telephone | 941-752-9302
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Fax | 941-756-9779
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME24942
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License Number State | FL
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