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General NPI Number Information
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NPI Number | 1326568650
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Entity Type | Organization
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Legal Business Name | VIRTUOUS HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 06/27/2017
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 3901 ARLINGTON HIGHLANDS BLVD STE 247
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City | ARLINGTON
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State | TX
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Zip | 76018-6036
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Country | US
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Telephone | 817-405-6274
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Fax | 817-779-7445
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Provider Business Mailing Address
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Address Line | 3901 ARLINGTON HIGHLANDS BLVD STE 200
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City | ARLINGTON
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State | TX
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Zip | 76018-6050
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Country | US
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Telephone | 817-405-6274
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Fax | 817-779-7445
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Authorized Official
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Title or Position | CEO
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Name | ENGGA MICKENS
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Credential |
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Telephone | 817-405-6274
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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