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General NPI Number Information
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NPI Number | 1396634523
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Entity Type | Organization
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Legal Business Name | VITALITY HEALTH & WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 39 E MAIN ST
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City | NORWALK
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State | OH
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Zip | 44857-1514
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Country | US
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Telephone | 419-677-0702
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Fax | 419-406-6942
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Provider Business Mailing Address
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Address Line | 39 E MAIN ST
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City | NORWALK
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State | OH
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Zip | 44857-1514
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Country | US
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Telephone | 419-677-0702
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Fax | 419-406-6942
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Authorized Official
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Title or Position | OWNER
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Name | MEGAN F LUNSFORD
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Credential | FNP-C
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Telephone | 419-677-0702
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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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