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General NPI Number Information
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NPI Number | 1578422275
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Entity Type | Organization
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Legal Business Name | VITAL ANESTHESIA ASSOCIATES SC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1540 LYON DR STE 2
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City | NEENAH
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State | WI
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Zip | 54956-5037
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Country | US
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Telephone | 862-668-8888
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Fax |
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Provider Business Mailing Address
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Address Line | 1716 LAWRENCE DR STE 103
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City | DE PERE
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State | WI
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Zip | 54115-9108
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Country | US
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Telephone | 862-668-8888
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Fax |
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Authorized Official
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Title or Position | OWNER, PARTNER
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Name | DR. VISHAL PATEL
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Credential | MD
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Telephone | 862-668-8888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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