How to call Vatican City from the USA/Canada:

dial 011 + 39 (or 379) + phone number

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Calling Vatican City from the United States explained:

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011 - US exit code; must be dialed first for all international calls made from the USA or Canada
39 - country code for Italy
379 - country code for Vatican City

The time in Vatican City is now 03:20:43pm

Calling cards: