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General NPI Number Information
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NPI Number | 1790074219
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Entity Type | Organization
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Legal Business Name | VINCENT JOHN SENA, MD
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 165 NORTH VILLAGE AVENUE SUITE 140
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570
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Country | US
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Telephone | 516-766-5881
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Fax | 516-594-0726
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Provider Business Mailing Address
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Address Line | 165 NORTH VILLAGE AVENUE SUITE 140
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570
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Country | US
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Telephone | 516-766-5881
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Fax | 516-594-0726
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Authorized Official
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Title or Position | M.D. (OWNER)
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Name | DR. VINCENT JOHN SENA
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Credential | MD
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Telephone | 516-766-5881
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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 | 158697
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License Number State | NY
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