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General NPI Number Information
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NPI Number | 1265373526
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Entity Type | Individual
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Provider Name | MICHELLE ELAINE VITALE
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Gender | Female
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 229 E MARTIN ST STE 6
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City | MARTINSBURG
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State | WV
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Zip | 25401-3367
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Country | US
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Telephone | 304-260-6360
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Fax | 304-260-6459
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Provider Business Mailing Address
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Address Line | 42 BUNTING AVE
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City | MARTINSBURG
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State | WV
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Zip | 25405-3938
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Country | US
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Telephone | 304-620-5416
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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