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General NPI Number Information
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NPI Number | 1003770165
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Entity Type | Organization
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Legal Business Name | VITALITY HEALTH AND PSYCHIATRIC SERVICES LLC
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Dates
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Enumeration Date | 12/12/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 868 COVE PKWY STE 1
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City | COTTONWOOD
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State | AZ
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Zip | 86326-5567
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Country | US
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Telephone | 509-859-3206
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3635
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City | COTTONWOOD
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State | AZ
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Zip | 86326-2561
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | KATHERINE P GARFIELD
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Credential | FNP-BC
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Telephone | 509-859-3206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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