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Dr. Joshua Vacik

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NPI Number Detailed Information

Provider Information:

Name: Dr. Joshua Vacik
Gender: M
Provider License Number If Given: 26253

NPI Information:

NPI: 1770582371
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 7/18/2005

Last Update Date: 2/27/2015

Provider Business Mailing Address:

Address: 1120 S JACKSON HWY SUITE 300
Sheffield, AL 35660
Phone Number: 2563834447
Fax Number: 2563817999

Provider Business Practice Location Address:

Address: 1120 S JACKSON HWY SUITE 300
Sheffield, AL 35660
Phone Number: 2563834447
Fax Number: 2563817999

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: AL

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