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General NPI Number Information
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NPI Number | 1417461682
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Entity Type | Organization
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Legal Business Name | VIGILINT EXPEDITIONARY SOLUTIONS
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Dates
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Enumeration Date | 11/27/2017
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 900 PERIMETER PARK DR STE G
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City | MORRISVILLE
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State | NC
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Zip | 27560-8725
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Country | US
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Telephone | 919-914-0904
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Fax | 919-914-0904
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Provider Business Mailing Address
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Address Line | 900 PERIMETER PARK DR STE G
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City | MORRISVILLE
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State | NC
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Zip | 27560-8725
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Country | US
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Telephone | 919-914-0904
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Fax | 919-914-0904
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Authorized Official
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Title or Position | DIRECTOR, PHARMACY OPERATIONS
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Name | RANDALL JOSEPH SWEENEY
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Credential | PHARMD
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Telephone | 919-573-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number |
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License Number State |
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