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General NPI Number Information
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NPI Number | 1396665782
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Entity Type | Organization
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Legal Business Name | VITA, LLC
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 1793 CONCORD HILL DR
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City | ANCHORAGE
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State | AK
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Zip | 99515-2542
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Country | US
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Telephone | 907-360-9191
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Fax | 888-270-7425
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Provider Business Mailing Address
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Address Line | 1793 CONCORD HILL DR
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City | ANCHORAGE
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State | AK
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Zip | 99515-2542
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Country | US
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Telephone | 907-360-9191
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | OLGA LONDON
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Credential |
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Telephone | 907-360-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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