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General NPI Number Information
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NPI Number | 1871553826
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Entity Type | Individual
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Provider Name | FRANK A. VICINI M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 70 FULTON ST
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City | PONTIAC
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State | MI
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Zip | 48341-2755
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Country | US
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Telephone | 248-338-0300
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Fax | 248-338-0663
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Provider Business Mailing Address
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Address Line | 2234 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS
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City | FORT MYERS
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State | FL
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Zip | 33907-1412
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Country | US
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Telephone | 239-931-7342
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Fax | 239-931-7385
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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 | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 4301405983
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License Number State | MI
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