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General NPI Number Information
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NPI Number | 1841395662
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Entity Type | Individual
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Provider Name | PHILIP G VITELLI DO
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 03/10/2015
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Provider Practice Location Address
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Address Line | 15801 W HURON DR
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-6699
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Country | US
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Telephone | 623-570-0511
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Fax | 623-223-5665
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Provider Business Mailing Address
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Address Line | 15801 W HURON DR
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City | SUN CITY WEST
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State | AZ
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Zip | 85375-6699
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Country | US
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Telephone | 623-570-0511
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Fax | 623-223-5665
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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 | OS002620L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5117
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DO1655
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 5101019613
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A13233
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License Number State | CA
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