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General NPI Number Information
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NPI Number | 1669322475
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Entity Type | Organization
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Legal Business Name | VITALIZE FOR WOMEN
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Dates
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Enumeration Date | 01/31/2026
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Last Update Date | 01/31/2026
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Provider Practice Location Address
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Address Line | 702 CEDAR POINT BLVD
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City | CEDAR POINT
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State | NC
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Zip | 28584-8012
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Country | US
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Telephone | 252-470-9345
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Fax |
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Provider Business Mailing Address
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Address Line | 702 CEDAR POINT BLVD
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City | CEDAR POINT
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State | NC
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Zip | 28584-8012
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Country | US
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Telephone | 252-470-9345
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. JERI ALLISON MCCARSON
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Credential | DNP, CNM, MSCP
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Telephone | 808-348-2156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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