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NPI 1275484271

NPI 1275484271 : VITALITY DIRECT PRIMARY CARE : GREENVILLE, SC

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General NPI Number Information
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    NPI Number           |    1275484271
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    Entity Type          |    Organization 
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    Legal Business Name  |    VITALITY DIRECT PRIMARY CARE 
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Dates
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    Enumeration Date     |    02/05/2026
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    Last Update Date     |    02/05/2026
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Provider Practice Location Address
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    Address Line         |    300 REGENT PARK CT 
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    City                 |    GREENVILLE
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    State                |    SC
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    Zip                  |    29607-6547
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    Country              |    US
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    Telephone            |    864-214-4289
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 STRATHAVEN CT 
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    City                 |    GREER
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    State                |    SC
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    Zip                  |    29651-7190
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    Country              |    US
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    Telephone            |    864-214-4289
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FAMILY PHYSICIAN
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    Name                 |    DR. BRANDON  HECHT 
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    Credential           |    DO
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    Telephone            |    954-319-6532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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