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General NPI Number Information
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NPI Number | 1760077259
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Entity Type | Organization
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Legal Business Name | VERMENTON MOLINA PEDIATRICS PC
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 1339 E GUN HILL RD
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City | BRONX
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State | NY
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Zip | 10469-3010
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Country | US
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Telephone | 929-461-1538
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Fax | 929-396-7296
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Provider Business Mailing Address
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Address Line | 1109 ADEE AVE
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City | BRONX
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State | NY
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Zip | 10469-5117
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Country | US
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Telephone | 929-385-4299
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE DANIEL VERMENTON
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Credential | MD
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Telephone | 929-385-4299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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