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General NPI Number Information
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NPI Number | 1467558080
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Entity Type | Organization
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Legal Business Name | VITAFLO USA, LLC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 01/27/2011
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Provider Practice Location Address
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Address Line | 211 N UNION ST SUITE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2657
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Country | US
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Telephone | 631-972-8985
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Fax | 631-693-2002
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Provider Business Mailing Address
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Address Line | 211 N UNION ST SUITE 100
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City | ALEXANDRIA
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State | VA
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Zip | 22314-2657
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Country | US
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Telephone | 631-972-8985
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Fax | 631-693-2002
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | MS. JENNIFER SZYMANSKI
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Credential |
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Telephone | 571-527-7794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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