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General NPI Number Information
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NPI Number | 1508530114
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Entity Type | Organization
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Legal Business Name | VIPA HEALTH SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 8000 SW 117TH AVE PH C
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City | KENDALL
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State | FL
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Zip | 33183-4816
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Country | US
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Telephone | 305-227-7780
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Fax | 305-278-3033
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Provider Business Mailing Address
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Address Line | 8000 SW 117TH AVE PH C
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City | KENDALL
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State | FL
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Zip | 33183-4816
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Country | US
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Telephone | 305-227-7780
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Fax | 305-278-3033
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Authorized Official
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Title or Position | CEO
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Name | MR. RUBEN GARCIA
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Credential |
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Telephone | 305-227-7780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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