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1154645026

NPI Code Detail

MEDICARE: DR. DAVID VECCHIONE MD

MEDICARE: DR. DAVID VECCHIONE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0117X	Orthopaedic Surgery of the Spine Physician	ME129558	FL
2	207XS0117X	Orthopaedic Surgery of the Spine Physician	4301107095	MI
3	207XS0117X	Orthopaedic Surgery of the Spine Physician	036140815	IL
4	207XS0117X	Orthopaedic Surgery of the Spine Physician	27893	MS

General Provider Information

NPI Number	:	1154645026
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID VECCHIONE MD

Provider Business Mailing Address
First Line	:	1211 S GLOSTER ST STE A
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38801-6548
Country	:	US
Telephone Number	:	662-767-4200
Fax Number	:	662-767-4204

Provider Business Practice Location Address
First Line	:	1211 S GLOSTER ST STE A
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38801-6548
Country	:	US
Telephone Number	:	662-767-4200
Fax Number	:	662-767-4204

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2010
Last Update Date	:	01/12/2021

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1093066078 — MRS. ANDREA B SPENCER OTR/L
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Practice Location Address:

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Directions to “ DR. DAVID VECCHIONE MD” Practice Location

Language	Start Address	Practice Location

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