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General NPI Number Information
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NPI Number | 1083589808
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Entity Type | Organization
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Legal Business Name | VITAL PATH WELLNESS PLLC
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Dates
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Enumeration Date | 10/09/2025
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1707 GRAND ARMY HWY
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City | SWANSEA
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State | MA
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Zip | 02777-3901
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Country | US
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Telephone | 508-812-5120
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Fax | 539-239-3472
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Provider Business Mailing Address
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Address Line | 1707 GRAND ARMY HWY
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City | SWANSEA
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State | MA
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Zip | 02777-3901
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Country | US
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Telephone | 508-812-5120
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Fax | 539-239-3472
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | ELIZABETE RODRIGUES
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Credential | APRN
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Telephone | 508-812-5120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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