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General NPI Number Information
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NPI Number | 1285446641
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Entity Type | Organization
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Legal Business Name | VITALO, LLC
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 401 N MAIN ST STE 14
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City | GRAVOIS MILLS
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State | MO
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Zip | 65037-6253
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Country | US
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Telephone | 816-517-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 401 N MAIN ST STE 14
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City | GRAVOIS MILLS
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State | MO
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Zip | 65037-6253
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Country | US
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Telephone | 816-508-5878
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Fax | 816-280-2183
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Authorized Official
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Title or Position | OWNER, OPERATOR
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Name | MRS. JAMIE ZURCHER
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Credential | FNP-BC, PMHNP-BC
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Telephone | 816-508-5878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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