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General NPI Number Information
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NPI Number | 1467311316
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Entity Type | Organization
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Legal Business Name | VIE CARE SUPPORT
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 123 LUCKIE ST NW APT 2412
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City | ATLANTA
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State | GA
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Zip | 30303-2156
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Country | US
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Telephone | 202-235-2153
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Fax | 216-250-9067
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Provider Business Mailing Address
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Address Line | 123 LUCKIE ST NW APT 2412
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City | ATLANTA
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State | GA
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Zip | 30303-2156
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Country | US
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Telephone | 202-235-2153
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | SALIM ELHALABY
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Credential | NP
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Telephone | 202-235-2153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2084P2900X
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Taxonomy Name | Pain Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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