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General NPI Number Information
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NPI Number | 1063275410
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Entity Type | Organization
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Legal Business Name | VHG TELEMED HOME VISIT LLC
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Dates
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Enumeration Date | 01/30/2024
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 6550 MAIN ST UNIT 1571
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City | NEW PRT RCHY
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State | FL
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Zip | 34656-9763
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Country | US
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Telephone | 727-808-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 6550 MAIN ST UNIT 1571
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City | NEW PRT RCHY
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State | FL
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Zip | 34656-9763
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Country | US
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Telephone | 727-808-4800
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | SHARI ROSENBERG
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Credential |
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Telephone | 727-808-5591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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