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General NPI Number Information
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NPI Number | 1467369439
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Entity Type | Organization
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Legal Business Name | VITALITY WELLNESS GROUP, LLC
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 210 N MAIN ST UNIT 7
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City | SHARON
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State | MA
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Zip | 02067-1276
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Country | US
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Telephone | 203-470-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 210 N MAIN ST UNIT 7
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City | SHARON
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State | MA
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Zip | 02067-1276
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Country | US
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Telephone | 203-470-6363
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CLINIC DIRECTOR
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Name | LAURA BLOOD
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Credential | PT, DPT, GCS, CLT
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Telephone | 203-470-6363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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