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General NPI Number Information
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NPI Number | 1295975563
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Entity Type | Organization
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Legal Business Name | VITAL WELL-BEING CENTER, INC.
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Dates
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Enumeration Date | 02/26/2009
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Last Update Date | 02/12/2011
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Provider Practice Location Address
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Address Line | 34621 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-2152
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Country | US
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Telephone | 727-786-1661
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Fax | 727-785-3783
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Provider Business Mailing Address
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Address Line | 34621 US HIGHWAY 19 N
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City | PALM HARBOR
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State | FL
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Zip | 34684-2152
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Country | US
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Telephone | 727-786-1661
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Fax | 727-785-3783
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | LAURIE J CHAPMAN
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Credential |
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Telephone | 727-786-1661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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