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Individual
VINCENT THOMAS JOSEPH
Active
Individual
VINCENT THOMAS JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104000671
VA
171100000X
Acupuncturist
0104000671
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274506
ANTHEM BCBS
VA
01
—
990010356
RR MEDICARE
—
Enumeration date
07/03/2006
Last updated
12/01/2011
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