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General NPI Number Information
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NPI Number | 1427848134
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Entity Type | Organization
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Legal Business Name | VIDAL HEALTH SOLUTION INC
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 6838 W 25TH AVE
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City | HIALEAH
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State | FL
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Zip | 33016-5467
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Country | US
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Telephone | 786-461-0557
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Fax |
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Provider Business Mailing Address
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Address Line | 6838 W 25TH AVE
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City | HIALEAH
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State | FL
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Zip | 33016-5467
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Country | US
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Telephone | 786-461-0557
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TERESA VIDAL PEREZ
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Credential | APRN 11036635
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Telephone | 786-461-0557
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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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