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General NPI Number Information
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NPI Number | 1831367929
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Entity Type | Organization
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Legal Business Name | FAUSTO Y VINCES DO PLLC
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 03/01/2008
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Provider Practice Location Address
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Address Line | 136 FIELDPOINT DR
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City | IRVINGTON
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State | NY
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Zip | 10533-1858
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Country | US
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Telephone | 914-231-6071
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Fax |
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Provider Business Mailing Address
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Address Line | 136 FIELDPOINT DR
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City | IRVINGTON
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State | NY
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Zip | 10533-1858
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | FAUSTO VINCES
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Credential | DO
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Telephone | 914-231-6071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 229830
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License Number State | NY
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