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General NPI Number Information
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NPI Number | 1942774260
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Entity Type | Individual
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Provider Name | JAMES VLCEK DC
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Gender | Male
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Dates
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Enumeration Date | 01/21/2019
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Last Update Date | 12/30/2020
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Provider Practice Location Address
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Address Line | 950 E BELT LINE RD
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City | CEDAR HILL
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State | TX
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Zip | 75104-2422
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Country | US
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Telephone | 719-322-2144
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Fax |
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Provider Business Mailing Address
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Address Line | 5114 KNICKERBOCKER RD
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City | SAN ANGELO
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State | TX
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Zip | 76904-7714
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Country | US
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Telephone | 325-617-2865
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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 | 14011
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License Number State | TX
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