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General NPI Number Information
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NPI Number | 1699753772
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Entity Type | Organization
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Legal Business Name | FRANK DE MAIO MD PA
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 10/06/2009
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Provider Practice Location Address
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Address Line | 1047 ALMOND ST
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City | VINELAND
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State | NJ
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Zip | 08360
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Country | US
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Telephone | 856-691-7111
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Fax | 856-205-9654
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Provider Business Mailing Address
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Address Line | 1047 ALMOND ST
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City | VINELAND
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State | NJ
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Zip | 08360
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Country | US
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Telephone | 856-691-7111
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Fax | 856-205-9654
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FRANK DE MAIO
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Credential |
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Telephone | 856-691-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA01932000
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License Number State | NJ
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