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General NPI Number Information
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NPI Number | 1780246595
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Entity Type | Individual
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Provider Name | VINITA VIPIN VAIDYA MD
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Gender | Female
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | MORGANTOWN
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State | WV
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Zip | 26506-1200
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Country | US
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Telephone | 304-293-4661
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Fax | 304-293-3724
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Provider Business Mailing Address
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Address Line | PO BOX 9166
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City | MORGANTOWN
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State | WV
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Zip | 26506-9166
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Country | US
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Telephone | 304-293-4661
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Fax | 304-293-3724
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | RL15683
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 31390
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License Number State | WV
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