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NPI 1760642615

NPI 1760642615 : PASQUALE PATRICK VASCIMINI DDS : RYE BROOK, NY

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General NPI Number Information
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    NPI Number           |    1760642615
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    Entity Type          |    Individual 
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    Provider Name        |    PASQUALE PATRICK VASCIMINI DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/13/2008
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    Last Update Date     |    02/11/2016
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Provider Practice Location Address
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    Address Line         |    10 RYE RIDGE PLZ SUITE 101
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    City                 |    RYE BROOK
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    State                |    NY
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    Zip                  |    10573-2828
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    Country              |    US
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    Telephone            |    914-251-0636
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    Fax                  |    914-251-0642
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Provider Business Mailing Address
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    Address Line         |    3010 WESTCHESTER AVE STE 309
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    City                 |    PURCHASE
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    State                |    NY
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    Zip                  |    10577-2502
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    Country              |    US
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    Telephone            |    914-251-0636
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    041565-1
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    License Number State |    NY
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