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General NPI Number Information
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NPI Number | 1255808259
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Entity Type | Organization
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Legal Business Name | VITAL AID, LLC
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Dates
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Enumeration Date | 10/28/2018
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 303 SOUTH 69TH STREET SUITE 2
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City | PHILADELPHIA
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State | PA
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Zip | 19082
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Country | US
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Telephone | 866-696-8585
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Fax | 267-849-3939
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Provider Business Mailing Address
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Address Line | 10 CROSSROADS DRIVE SUITE 110
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City | OWINGS MILLS
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State | MD
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Zip | 21117
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Country | US
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Telephone | 410-486-5330
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MATTHEW AUMAN
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Credential |
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Telephone | 410-486-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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