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General NPI Number Information
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NPI Number | 1871893875
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Entity Type | Organization
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Legal Business Name | VINCENT P. WROBLEWSKI M D PA
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 1623 BELLONA AVE
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City | LUTHERVILLE
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State | MD
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Zip | 21093-5529
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Country | US
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Telephone | 410-252-4406
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Fax | 410-252-5655
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Provider Business Mailing Address
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Address Line | 1623 BELLONA AVE
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City | LUTHERVILLE
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State | MD
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Zip | 21093-5529
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Country | US
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Telephone | 410-252-4406
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Fax | 410-252-5655
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Authorized Official
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Title or Position | PRESIDENT
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Name | VINCENT PAUL WROBLEWSKI
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Credential | M.D.
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Telephone | 410-252-4406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | D43031
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License Number State | MD
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