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NPI 1164221271

NPI 1164221271 : VITALTRAK LLC : LAKEWOOD, NJ

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General NPI Number Information
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    NPI Number           |    1164221271
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    Entity Type          |    Organization 
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    Legal Business Name  |    VITALTRAK LLC 
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Dates
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    Enumeration Date     |    03/11/2025
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    Last Update Date     |    01/22/2026
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Provider Practice Location Address
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    Address Line         |    1215 ROUTE 70 STE 1005 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-6958
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    Country              |    US
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    Telephone            |    732-994-3390
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    Fax                  |    973-653-2160
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Provider Business Mailing Address
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    Address Line         |    1215 ROUTE 70 STE 1005 
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    City                 |    LAKEWOOD
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    State                |    NJ
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    Zip                  |    08701-6958
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    Country              |    US
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    Telephone            |    732-994-3390
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    Fax                  |    973-653-2160
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |    MR. HILLEL  PELTZ 
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    Credential           |    
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    Telephone            |    855-621-8250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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