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General NPI Number Information
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NPI Number | 1518679331
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Entity Type | Organization
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Legal Business Name | VIRTUAL PHYSICIAN ASSOCIATES, LTD.
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 1000 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-2841
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Country | US
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Telephone | 312-883-0930
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Fax | 312-724-5823
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Provider Business Mailing Address
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Address Line | 1000 ESSINGTON RD
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City | JOLIET
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State | IL
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Zip | 60435-2841
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Country | US
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Telephone | 312-883-0930
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | MIRIAM SCHNEIDER
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Credential |
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Telephone | 847-863-2788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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