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General NPI Number Information
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NPI Number | 1336062090
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Entity Type | Organization
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Legal Business Name | VITAL WELLNESS PLLC
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Dates
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Enumeration Date | 07/31/2026
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Last Update Date | 07/31/2026
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Provider Practice Location Address
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Address Line | 95 H20 PL STE 4
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3066
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Country | US
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Telephone | 910-410-4928
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Fax | 910-996-5831
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Provider Business Mailing Address
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Address Line | 95 H20 PL STE 4
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City | HAMPSTEAD
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State | NC
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Zip | 28443-3066
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Country | US
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Telephone | 910-410-4928
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Fax | 910-996-5831
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE KITTRELL
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Credential | PA
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Telephone | 910-410-4928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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