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General NPI Number Information
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NPI Number | 1528172525
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Entity Type | Individual
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Provider Name | VERNON LEON YORK JR. D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6750 W OLIVE AVE SUITE 117
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City | PEORIA
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State | AZ
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Zip | 85345-8888
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Country | US
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Telephone | 623-937-6151
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Fax | 623-979-7097
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Provider Business Mailing Address
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Address Line | 8039 S 54TH DR
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City | LAVEEN
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State | AZ
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Zip | 85339-2856
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Country | US
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Telephone | 602-237-1304
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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 | 7331
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License Number State | AZ
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