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General NPI Number Information
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NPI Number | 1619224235
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Entity Type | Organization
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Legal Business Name | JAMES V. VEST, MD, LTD
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 4600 MEMORIAL DR STE. 120
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City | BELLEVILLE
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State | IL
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Zip | 62226-5368
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Country | US
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Telephone | 618-233-2220
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Fax | 618-233-2555
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Provider Business Mailing Address
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Address Line | 4600 MEMORIAL DR STE. 120
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City | BELLEVILLE
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State | IL
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Zip | 62226-5368
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Country | US
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Telephone | 618-233-2220
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Fax | 618-233-2555
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | DR. JAMES V. VEST
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Credential | MD
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Telephone | 618-233-2220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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