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General NPI Number Information
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NPI Number | 1679543243
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Entity Type | Individual
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Provider Name | MARGARET A VITAGLIANO PA
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Gender | Female
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Dates
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Enumeration Date | 01/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12635 N 42ND ST
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City | PHOENIX
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State | AZ
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Zip | 85032-7601
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Country | US
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Telephone | 602-494-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 5860 E QUAIL TRACK DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85262-8732
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Country | US
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Telephone | 480-538-7079
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 2029
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License Number State | AZ
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