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General NPI Number Information
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NPI Number | 1871942235
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Entity Type | Individual
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Provider Name | SALLY F VITEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/07/2016
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 1653 THE FAIRWAY STE 218
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City | JENKINTOWN
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State | PA
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Zip | 19046-1420
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Country | US
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Telephone | 267-296-9270
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Fax | 267-296-9271
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Provider Business Mailing Address
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Address Line | 9600 BLACKWELL RD STE 500
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City | ROCKVILLE
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State | MD
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Zip | 20850-3783
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | MD470662
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License Number State | PA
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