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General NPI Number Information
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NPI Number | 1083523583
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Entity Type | Organization
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Legal Business Name | VITACOLLECT LLC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 913 W DANVILLE ST STE B
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City | SOUTH HILL
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State | VA
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Zip | 23970-3601
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Country | US
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Telephone | 434-289-0075
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Fax | 434-226-8001
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Provider Business Mailing Address
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Address Line | 913 W DANVILLE ST STE B
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City | SOUTH HILL
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State | VA
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Zip | 23970-3601
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Country | US
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Telephone | 434-289-0075
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Fax | 434-226-8001
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Authorized Official
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Title or Position | CEO
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Name | JESSICA AINSLIE WHITFIELD
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Credential |
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Telephone | 984-209-0482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QG0250X
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Taxonomy Name | Genetics Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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