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General NPI Number Information
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NPI Number | 1679230338
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Entity Type | Individual
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Provider Name | VANESSA L VINCI NP
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Gender | Female
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Dates
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Enumeration Date | 11/17/2021
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 183 CALLE MAGDALENA STE 101
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City | ENCINITAS
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State | CA
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Zip | 92024-3793
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Country | US
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Telephone | 866-957-4550
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Fax |
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Provider Business Mailing Address
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Address Line | 2636 GRAND AVE APT 345
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City | SAN DIEGO
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State | CA
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Zip | 92109-4840
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Country | US
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Telephone | 201-452-1842
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95016968
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License Number State | CA
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