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General NPI Number Information
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NPI Number | 1528897436
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Entity Type | Organization
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Legal Business Name | VITALITY RX
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 10675 SW 190TH ST STE 1109
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City | CUTLER BAY
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State | FL
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Zip | 33157-7653
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Country | US
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Telephone | 305-399-8061
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Fax |
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Provider Business Mailing Address
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Address Line | 10804 SW 141ST LN
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City | MIAMI
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State | FL
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Zip | 33176-6535
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Country | US
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Telephone | 305-399-8061
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TREBREH BUTLER
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Credential |
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Telephone | 786-928-5011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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