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General NPI Number Information
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NPI Number | 1184515249
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Entity Type | Organization
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Legal Business Name | VITAL HORMONES AND WEIGHT LOSS
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 21455 S ELLSWORTH RD
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-9849
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Country | US
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Telephone | 480-318-1823
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Fax |
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Provider Business Mailing Address
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Address Line | 22591 S 225TH WAY
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5678
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Country | US
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Telephone | 480-318-1823
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JENNIFER HULS
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Credential | FNP-BC
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Telephone | 480-318-1823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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