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General NPI Number Information
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NPI Number | 1710618798
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Entity Type | Organization
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Legal Business Name | VASILIOS KOUNTIS DO, PLLC
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 78 TODT HILL RD STE 112
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4528
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Country | US
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Telephone | 718-962-7246
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Fax | 800-615-2463
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Provider Business Mailing Address
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Address Line | 78 TODT HILL RD STE 112
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City | STATEN ISLAND
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State | NY
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Zip | 10314-4528
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Country | US
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Telephone | 718-962-7246
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Fax | 800-615-2463
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Authorized Official
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Title or Position | OWNER
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Name | VASILIOS KOUNTIS
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Credential | DO
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Telephone | 212-235-1265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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