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General NPI Number Information
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NPI Number | 1710043237
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Entity Type | Organization
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Legal Business Name | VPC, INC.
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 303 HARRIS INDUSTRIAL BLVD. STE 3
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City | VIDALIA
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State | GA
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Zip | 30474-8854
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Country | US
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Telephone | 912-537-9355
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Fax | 912-373-8096
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Provider Business Mailing Address
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Address Line | 303 HARRIS INDUSTRIAL BLVD. STE 3
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City | VIDALIA
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State | GA
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Zip | 30474-8854
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Country | US
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Telephone | 912-537-9355
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Fax | 912-373-8096
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Authorized Official
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Title or Position | C.O.O./CO-OWNER
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Name | CARSON HUGH SMITH
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Credential |
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Telephone | 912-537-9355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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