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General NPI Number Information
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NPI Number | 1073417127
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Entity Type | Organization
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Legal Business Name | VANTIX MEDICAL LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 267 WOODLAND DR
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City | BENTON
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State | KY
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Zip | 42025-8274
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Country | US
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Telephone | 517-615-1979
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Fax |
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Provider Business Mailing Address
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Address Line | 267 WOODLAND DR
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City | BENTON
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State | KY
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Zip | 42025-8274
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Country | US
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Telephone | 517-615-1979
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AARON JOSEPH MAUPIN
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Credential |
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Telephone | 517-615-1979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | NULL
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