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NPI 1518107549

NPI 1518107549 : JOHN F. VILCHECK, JR. O.D. : COATESVILLE, PA

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General NPI Number Information
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    NPI Number           |    1518107549
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOHN F. VILCHECK, JR. O.D. 
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Dates
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    Enumeration Date     |    03/03/2009
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    Last Update Date     |    03/03/2009
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Provider Practice Location Address
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    Address Line         |    644 E REECEVILLE RD 
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    City                 |    COATESVILLE
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    State                |    PA
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    Zip                  |    19320-1232
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    Country              |    US
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    Telephone            |    610-383-6449
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    Fax                  |    610-383-1227
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Provider Business Mailing Address
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    Address Line         |    644 E REECEVILLE RD 
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    City                 |    COATESVILLE
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    State                |    PA
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    Zip                  |    19320-1232
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    Country              |    US
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    Telephone            |    610-383-6449
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    Fax                  |    610-383-1227
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. JOHN F VILCHECK JR.
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    Credential           |    O.D.
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    Telephone            |    610-383-6449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OEG000965
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    License Number State |    PA
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