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General NPI Number Information
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NPI Number | 1992391346
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Entity Type | Individual
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Provider Name | VINCENT JOHN ACUNTO RN, FNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/18/2020
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 2855 OLD HIGHWAY 5
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City | BLUE RIDGE
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State | GA
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Zip | 30513-6248
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Country | US
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Telephone | 239-285-1788
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Fax |
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Provider Business Mailing Address
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Address Line | 212 ASTER LN
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City | MORGANTON
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State | GA
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Zip | 30560-3249
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Country | US
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Telephone | 239-285-1788
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN244849
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN244849
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License Number State | GA
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