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General NPI Number Information
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NPI Number | 1073971206
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Entity Type | Organization
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Legal Business Name | VIRTUAL HEALTH VENTURES
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 7955 AIRPORT PULLING RD N SUITE 205
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City | NAPLES
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State | FL
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Zip | 34109-1794
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Country | US
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Telephone | 239-322-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 6017 PINE RIDGE RD # 274
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City | NAPLES
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State | FL
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Zip | 34119-3956
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Country | US
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Telephone | 239-322-0066
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. TIMOTHY MATTHEW EVERETT SR.
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Credential | M.D.
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Telephone | 239-322-0066
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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 | ME112097
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | ME112097
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License Number State | FL
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