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General NPI Number Information
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NPI Number | 1316730260
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Entity Type | Individual
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Provider Name | MICHAEL VUKELIC
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Gender | Male
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 133 LOUIS ST
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City | NEWINGTON
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State | CT
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Zip | 06111-4517
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Country | US
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Telephone | 860-667-3636
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Fax |
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Provider Business Mailing Address
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Address Line | 24 BELLMERE AVE
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City | STAMFORD
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State | CT
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Zip | 06906-1105
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Country | US
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Telephone | 203-550-1715
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2354
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License Number State | CT
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