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General NPI Number Information
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NPI Number | 1699498006
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Entity Type | Organization
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Legal Business Name | VIBRANT MED SOLUTIONS, INC
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 7520 NW 5TH ST STE 206
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City | PLANTATION
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State | FL
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Zip | 33317-1613
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Country | US
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Telephone | 239-961-9717
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Fax |
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Provider Business Mailing Address
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Address Line | 5846 S FLAMINGO RD # 359
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City | COOPER CITY
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State | FL
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Zip | 33330-3237
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Country | US
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Telephone | 239-961-9717
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BOBBIE ROGERS
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Credential |
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Telephone | 239-961-9717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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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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