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General NPI Number Information
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NPI Number | 1558117044
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Entity Type | Organization
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Legal Business Name | VITALITY HEALTH CARE PLLC
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Dates
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Enumeration Date | 04/25/2024
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 4731 S WHITE MOUNTAIN RD STE 1
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City | SHOW LOW
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State | AZ
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Zip | 85901-8079
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Country | US
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Telephone | 928-267-4761
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Fax | 928-304-7869
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Provider Business Mailing Address
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Address Line | 4731 S WHITE MOUNTAIN RD STE 1
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City | SHOW LOW
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State | AZ
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Zip | 85901-8079
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Country | US
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Telephone | 928-267-4761
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Fax | 928-304-7869
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DEBORA FINCH
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Credential | MSN, FNP
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Telephone | 928-267-4760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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