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NPI 1720992761

NPI 1720992761 : VITA DEL SOLE AZ : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1720992761
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    Entity Type          |    Organization 
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    Legal Business Name  |    VITA DEL SOLE AZ 
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Dates
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    Enumeration Date     |    09/29/2026
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    Last Update Date     |    09/29/2026
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Provider Practice Location Address
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    Address Line         |    4539 N 22ND ST STE R 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85016-4639
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    Country              |    US
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    Telephone            |    480-876-2252
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    11 TIMBERLINE RD 
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    City                 |    MILLIS
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    State                |    MA
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    Zip                  |    02054-1148
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    Country              |    US
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    Telephone            |    480-876-2252
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. MATTHEW ANTHONY SAITTA 
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    Credential           |    LMT
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    Telephone            |    480-876-2252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    
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    License Number State |    NULL
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