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General NPI Number Information
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NPI Number | 1497697874
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Entity Type | Organization
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Legal Business Name | VITAL TOUCH DIRECT CARE, PLLC
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 2021 ELIZABETH CHAPMAN DR
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City | JACKSON
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State | MS
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Zip | 39212-3252
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Country | US
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Telephone | 601-906-9680
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 107
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City | RAYMOND
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State | MS
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Zip | 39154-0107
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Country | US
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Telephone | 601-906-9680
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FLORA DENISE GRAY HALEY
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Credential | FNP-C
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Telephone | 601-906-9680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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