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General NPI Number Information
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NPI Number | 1821931940
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Entity Type | Individual
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Provider Name | VINCENT ROBERT DEVITO
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Gender | Male
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/13/2026
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Provider Practice Location Address
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Address Line | 2901 E LINCOLNWAY
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City | STERLING
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State | IL
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Zip | 61081-1780
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Country | US
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Telephone | 815-632-6200
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Fax | 815-632-6201
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Provider Business Mailing Address
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Address Line | 624 MARCLARE ST APT 4
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City | DIXON
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State | IL
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Zip | 61021-1183
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Country | US
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Telephone | 815-590-6898
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041467050
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License Number State | IL
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