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General NPI Number Information
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NPI Number | 1588711592
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Entity Type | Organization
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Legal Business Name | VITALANT
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 124 W THOMAS RD STE 210
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City | PHOENIX
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State | AZ
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Zip | 85013-4415
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Country | US
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Telephone | 623-487-6400
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Fax | 602-279-8240
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Provider Business Mailing Address
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Address Line | 9305 E VIA DE VENTURA
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-3597
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Country | US
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Telephone | 602-343-7092
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Fax | 602-343-7025
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Authorized Official
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Title or Position | CHIEF LEGAL & RISK OFFICER
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Name | BHAVI A SHAH
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Credential |
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Telephone | 480-675-5653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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