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General NPI Number Information
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NPI Number | 1578291647
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Entity Type | Organization
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Legal Business Name | VITALITY HEALTH HOLDINGS LLC
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/08/2022
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Provider Practice Location Address
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Address Line | 5647 NASH DR
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City | PIPERSVILLE
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State | PA
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Zip | 18947-1119
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Country | US
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Telephone | 877-288-0042
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Fax | 877-288-0043
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Provider Business Mailing Address
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Address Line | 5647 NASH DR
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City | PIPERSVILLE
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State | PA
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Zip | 18947-1119
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | TINA KRAJNIKOVICH
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Credential | APN
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Telephone | 877-288-0042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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