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General NPI Number Information
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NPI Number | 1245563758
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Entity Type | Organization
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Legal Business Name | V CARE HEALTH ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/15/2009
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Last Update Date | 04/02/2016
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Provider Practice Location Address
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Address Line | 1 WINDMILL CT
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3146
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Country | US
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Telephone | 732-781-5485
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Fax |
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Provider Business Mailing Address
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Address Line | 1 WINDMILL CT
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City | PLAINSBORO
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State | NJ
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Zip | 08536-3146
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Country | US
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Telephone | 732-781-5485
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. BHAVANI DURGA VIETLA
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Credential | M.D.
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Telephone | 732-781-5485
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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 | MA069862
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MA069862
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License Number State | NJ
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