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General NPI Number Information
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NPI Number | 1942481445
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Entity Type | Organization
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Legal Business Name | JULIO C. VIJIL, SR., M.D.
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 11/26/2007
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Provider Practice Location Address
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Address Line | 2901 OLD JACKSONVILLE RD SUITE B3
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City | SPRINGFIELD
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State | IL
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Zip | 62704-7437
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Country | US
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Telephone | 217-698-8850
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Fax | 217-698-8904
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Provider Business Mailing Address
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Address Line | 2901 OLD JACKSONVILLE RD SUITE B3
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City | SPRINGFIELD
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State | IL
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Zip | 62704-7437
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Country | US
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Telephone | 217-698-8850
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Fax | 217-698-8904
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. BETTY F. MCCARREL
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Credential |
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Telephone | 217-698-8850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | IL
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