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General NPI Number Information
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NPI Number | 1841560570
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Entity Type | Individual
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Provider Name | VINCENT C STONIS III PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/11/2012
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Last Update Date | 01/11/2019
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Provider Practice Location Address
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Address Line | 1201 LANGHORNE NEWTOWN RD
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City | LANGHORNE
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State | PA
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Zip | 19047-1201
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Country | US
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Telephone | 215-710-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 SANSOM ST STE 239
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City | PHILADELPHIA
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State | PA
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Zip | 19107-5002
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Country | US
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Telephone | 215-955-6844
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Fax | 215-955-5686
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | MA055314
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License Number State | PA
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