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General NPI Number Information
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NPI Number | 1891835146
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Entity Type | Individual
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Provider Name | THOMAS A VINCENT M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 7070 SAMUEL MORSE DR
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City | COLUMBIA
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State | MD
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Zip | 21046-3424
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Country | US
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Telephone | 410-309-4600
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 E JEFFERSON ST KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
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City | ROCKVILLE
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State | MD
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Zip | 20852-4908
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Country | US
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Telephone | 301-816-2424
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D24184
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License Number State | MD
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