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General NPI Number Information
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NPI Number | 1225213077
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Entity Type | Organization
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Legal Business Name | VITAL OPTIONS, INC.
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 16907 BARKENTINE LN
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-2377
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Country | US
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Telephone | 832-561-9206
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 57441
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City | WEBSTER
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State | TX
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Zip | 77598-7441
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Country | US
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Telephone | 832-561-9206
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TWANN BUTLER VITAL
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Credential |
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Telephone | 832-561-9206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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