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General NPI Number Information
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NPI Number | 1851465181
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Entity Type | Individual
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Provider Name | ALEXANDER VINZONS M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 03/30/2015
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Provider Practice Location Address
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Address Line | 234 E 149TH ST
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City | BRONX
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State | NY
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Zip | 10451-5504
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Country | US
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Telephone | 718-579-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 610 BARRYMORE LN
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City | MAMARONECK
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State | NY
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Zip | 10543-4235
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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 |
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 149708
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 149708
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 149708
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License Number State | NY
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