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General NPI Number Information
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NPI Number | 1447436613
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Entity Type | Organization
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Legal Business Name | VITALIS HEALTHCARE SYSTEMS, INC
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 10/14/2008
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Provider Practice Location Address
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Address Line | 2038 ORCHID AVE STE 4
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City | MCALLEN
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State | TX
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Zip | 78504-4152
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Country | US
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Telephone | 956-661-1114
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Fax |
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Provider Business Mailing Address
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Address Line | 2038 ORCHID AVE STE 4
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City | MCALLEN
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State | TX
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Zip | 78504-4152
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Country | US
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Telephone | 956-661-1114
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. ANNA LISA VARGAS
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Credential |
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Telephone | 956-227-0640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 1000094
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License Number State | TX
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