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General NPI Number Information
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NPI Number | 1689842585
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Entity Type | Organization
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Legal Business Name | DIODATO VILLAMENA MD
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 1 STONE PL STE 302
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City | BRONXVILLE
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State | NY
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Zip | 10708-3427
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Country | US
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Telephone | 914-779-9590
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Fax | 914-652-0052
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Provider Business Mailing Address
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Address Line | 1 STONE PL STE 302
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City | BRONXVILLE
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State | NY
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Zip | 10708-3427
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Country | US
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Telephone | 914-779-9590
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Fax | 914-652-0052
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ADELAIDE Y MAZZELLA
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Credential |
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Telephone | 914-779-9590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 114402
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License Number State | NY
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