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General NPI Number Information
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NPI Number | 1619788858
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Entity Type | Organization
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Legal Business Name | VITAL PATH CARE PC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 2057 VALLEYDALE RD STE 109
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City | HOOVER
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State | AL
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Zip | 35244-2707
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Country | US
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Telephone | 205-822-8038
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Fax | 205-822-8040
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Provider Business Mailing Address
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Address Line | 4101 CHARLOTTE AVE STE F185
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City | NASHVILLE
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State | TN
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Zip | 37209-4066
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Country | US
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Telephone |
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Fax | 833-450-6328
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL KING
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Credential | DPM
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Telephone | 407-219-5402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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