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General NPI Number Information
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NPI Number | 1831119478
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Entity Type | Individual
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Provider Name | ROBERT J VIGDERMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/16/2010
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Provider Practice Location Address
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Address Line | 31 HALL DR AMHERST MEDICAL CENTER
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City | AMHERST
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State | MA
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Zip | 01002-2751
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Country | US
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Telephone | 413-256-8561
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Fax | 413-256-4421
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Provider Business Mailing Address
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Address Line | PO BOX 8019
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City | SPRINGFIELD
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State | MA
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Zip | 01102-8000
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Country | US
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Telephone | 866-431-4077
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Fax | 413-774-7448
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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 | 242581
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License Number State | MA
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