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General NPI Number Information
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NPI Number | 1730242835
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Entity Type | Organization
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Legal Business Name | FERNANDO A. VIGNOLO DDS,MS,PA
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3901 FM 2181 SUITE 400
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City | CORINTH
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State | TX
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Zip | 76210-4250
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Country | US
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Telephone | 940-321-3919
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Fax | 940-497-0995
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Provider Business Mailing Address
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Address Line | 3901 FM 2181 SUITE 400
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City | CORINTH
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State | TX
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Zip | 76210-4250
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Country | US
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Telephone | 940-321-3919
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Fax | 940-497-0995
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. FERNANDO A VIGNOLO
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Credential | D.D.S., M.S., P.A.
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Telephone | 940-321-3919
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 20031
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License Number State | TX
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