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General NPI Number Information
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NPI Number | 1710853536
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Entity Type | Organization
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Legal Business Name | VIRTIS HEALTH, LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 1600 OAKBROOK DR STE 560B
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City | NORCROSS
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State | GA
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Zip | 30093-1848
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Country | US
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Telephone | 470-226-2300
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Fax | 770-545-6583
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Provider Business Mailing Address
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Address Line | 2801 NETWORK BLVD STE 505
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City | FRISCO
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State | TX
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Zip | 75034-1895
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO, PRESIDENT, DIRECTOR
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Name | MR. ANDREW C. WALK
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Credential |
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Telephone | 833-765-3648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy 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 | 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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Taxonomy #3
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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 #4
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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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