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General NPI Number Information
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NPI Number | 1700754710
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Entity Type | Organization
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Legal Business Name | VITOLOGY HEALTH CLINIC, PLLC
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 3855 GLADE RD STE 140
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City | COLLEYVILLE
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State | TX
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Zip | 76034-4814
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Country | US
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Telephone | 817-704-1566
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Fax | 817-719-9025
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Provider Business Mailing Address
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Address Line | 3855 GLADE RD STE 140
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City | COLLEYVILLE
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State | TX
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Zip | 76034-4814
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Country | US
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Telephone | 817-704-1566
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Fax | 817-719-9025
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Authorized Official
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Title or Position | CEO
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Name | YAMAN SUBEI
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Credential |
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Telephone | 248-722-2377
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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 | NULL
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