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General NPI Number Information
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NPI Number | 1609798008
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Entity Type | Organization
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Legal Business Name | VANTIS HEALTH NORTH CAROLINA PLLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 555 FAYETTEVILLE ST STE 300
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City | RALEIGH
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State | NC
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Zip | 27601-3066
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Country | US
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Telephone | 224-353-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 2634 PATRIOT BLVD STE C
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City | GLENVIEW
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State | IL
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Zip | 60026-8024
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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 | CMO
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Name | DR. MINA PAIMAN
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Credential | MD
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Telephone | 224-353-0333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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