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NPI 1811147556

NPI 1811147556 : ANGELA MARIE VUOTTO DO : AVENEL, NJ

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General NPI Number Information
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    NPI Number           |    1811147556
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA MARIE VUOTTO DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/30/2008
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    Last Update Date     |    09/30/2008
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Provider Practice Location Address
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    Address Line         |    8 PRODUCTION WAY 
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    City                 |    AVENEL
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    State                |    NJ
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    Zip                  |    07001-1628
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    Country              |    US
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    Telephone            |    732-574-2250
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    122 NORTH THIRD STREET 
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    City                 |    HAMMONTON
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    State                |    NJ
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    Zip                  |    08037
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    Country              |    US
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    Telephone            |    609-744-4101
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    Fax                  |    609-561-8415
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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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    25MB08141300
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    License Number State |    NJ
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