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General NPI Number Information
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NPI Number | 1770141947
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Entity Type | Individual
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Provider Name | VINCENT THOMAS VERTALINO DO
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Gender | Male
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 224 E MAIN ST
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City | SPRINGVILLE
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State | NY
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Zip | 14141-1497
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Country | US
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Telephone | 716-592-8111
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Fax |
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Provider Business Mailing Address
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Address Line | 224 E MAIN ST
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City | SPRINGVILLE
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State | NY
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Zip | 14141-1497
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Country | US
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Telephone | 716-592-8111
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 321290
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License Number State | NY
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