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General NPI Number Information
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NPI Number | 1427335801
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Entity Type | Organization
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Legal Business Name | VEKKOS MEDICAL ASSOCIATES, INC
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Dates
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Enumeration Date | 11/13/2011
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Last Update Date | 05/24/2018
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Provider Practice Location Address
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Address Line | 118 EATON PL
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City | VOORHEES
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State | NJ
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Zip | 08043
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Country | US
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Telephone | 569-812-7918
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Fax | 856-494-7892
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Provider Business Mailing Address
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Address Line | 118 EATON PL
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City | VOORHEES
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State | NJ
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Zip | 08043-1141
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Country | US
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Telephone | 856-981-2791
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RENEE VEKKOS
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Credential | DPM
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Telephone | 856-981-2791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number | 25MD00231300NJ
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License Number State | NJ
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