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General NPI Number Information
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NPI Number | 1659231439
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Entity Type | Organization
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Legal Business Name | VITALITY HEALTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 8500 BELL CREEK RD
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-3826
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Country | US
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Telephone | 804-807-3721
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Fax |
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Provider Business Mailing Address
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Address Line | 7150 FIRE LN
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City | MECHANICSVILLE
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State | VA
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Zip | 23116-4856
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Country | US
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Telephone | 804-244-6345
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LISA MARIE WOODFIN
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Credential | RN
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Telephone | 804-244-6345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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