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General NPI Number Information
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NPI Number | 1790291078
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Entity Type | Organization
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Legal Business Name | VICENTE T FALGUI MD PC
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 12/27/2017
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Provider Practice Location Address
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Address Line | 990 MAIN STREET SUITE 204
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City | DANVILLE
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State | VT
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Zip | 24541
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Country | US
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Telephone | 434-791-4648
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Fax | 434-793-2631
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Provider Business Mailing Address
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Address Line | 990 MAIN STREET SUITE 204
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City | DANVILLE
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State | VT
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Zip | 24541
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Country | US
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Telephone | 434-791-4648
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Fax | 434-793-2631
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Authorized Official
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Title or Position | OWNER
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Name | VICENTE T FALGUI MD PC
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Credential | MD
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Telephone | 434-791-4648
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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 | 0101022915
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License Number State | VA
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