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General NPI Number Information
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NPI Number | 1508728676
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Entity Type | Organization
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Legal Business Name | VIAJOURNEY TELEHEALTH LLC
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Dates
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Enumeration Date | 11/26/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 8130 LAKEWOOD MAIN STREET 103 401
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202
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Country | US
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Telephone | 941-359-9546
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Fax |
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Provider Business Mailing Address
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Address Line | 8130 LAKEWOOD MAIN STREET 103 401
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202
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Country | US
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Telephone | 941-359-9546
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDRE DE SOUZA E MELO
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Credential | M.D.
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Telephone | 860-944-6487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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