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General NPI Number Information
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NPI Number | 1154115707
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Entity Type | Organization
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Legal Business Name | VITARELLI INTEGRATIVE PSYCHIATRY AND WELLNESS
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 5220 S UNIVERSITY DR STE 110
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City | DAVIE
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State | FL
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Zip | 33328-5318
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Country | US
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Telephone | 954-861-0906
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Fax | 954-516-0821
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Provider Business Mailing Address
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Address Line | 5220 S UNIVERSITY DR STE 110
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City | DAVIE
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State | FL
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Zip | 33328-5318
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Country | US
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Telephone | 954-861-0906
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Fax | 954-516-0821
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Authorized Official
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Title or Position | APRN
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Name | DR. ASHLYNN VITARELLI
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Credential | DNP, APRN, PMHNP
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Telephone | 954-861-0906
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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