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General NPI Number Information
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NPI Number | 1447959028
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Entity Type | Organization
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Legal Business Name | VKJ ASSOCIATES CORP
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 03/02/2023
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Provider Practice Location Address
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Address Line | 5580 19TH CT SW STE 2
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City | NAPLES
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State | FL
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Zip | 34116-5577
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Country | US
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Telephone | 239-304-2471
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Fax |
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Provider Business Mailing Address
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Address Line | 5580 19TH CT SW STE 2
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City | NAPLES
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State | FL
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Zip | 34116-5577
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Country | US
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Telephone | 239-304-2471
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Fax |
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Authorized Official
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Title or Position | PRESIEDENT
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Name | LETICIA AQUINO ROSADO
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Credential | APRN
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Telephone | 239-285-8220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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