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General NPI Number Information
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NPI Number | 1174699847
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Entity Type | Individual
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Provider Name | JOHN G VILKELIS D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 378 ROUTE 202 STE 1A
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City | SOMERS
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State | NY
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Zip | 10589-3249
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Country | US
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Telephone | 914-618-4330
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Fax | 212-582-9705
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Provider Business Mailing Address
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Address Line | 378 ROUTE 202 STE 1A
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City | SOMERS
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State | NY
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Zip | 10589-3249
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Country | US
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Telephone | 914-618-4330
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Fax | 212-582-9705
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X007658
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License Number State | NY
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