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General NPI Number Information
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NPI Number | 1811382773
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Entity Type | Individual
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Provider Name | VINCENT NOORI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 08/31/2020
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Provider Practice Location Address
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Address Line | 22 BRAMHALL ST
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City | PORTLAND
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State | ME
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Zip | 04102-3134
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Country | US
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Telephone | 207-662-7060
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Fax |
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Provider Business Mailing Address
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Address Line | 301 SAINT PAUL PL
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City | BALTIMORE
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State | MD
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Zip | 21202-2165
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Country | US
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Telephone | 410-332-9404
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | D0088824
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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