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General NPI Number Information
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NPI Number | 1457263246
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Entity Type | Organization
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Legal Business Name | VESA MED LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 7000 CAMINO REAL STE 240
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City | BOCA RATON
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State | FL
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Zip | 33433-5532
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Country | US
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Telephone | 561-876-0969
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Fax |
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Provider Business Mailing Address
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Address Line | 11315 FAIRFIELD ST
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City | PARKLAND
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State | FL
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Zip | 33076-2870
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Country | US
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Telephone | 561-876-0969
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Fax |
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Authorized Official
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Title or Position | RN
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Name | ALEKSANDRA GREBENSHCHIKOVA
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Credential |
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Telephone | 786-543-5460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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