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General NPI Number Information
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NPI Number | 1750067856
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Entity Type | Organization
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Legal Business Name | VIP CLINIC LLC
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 10/24/2023
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Provider Practice Location Address
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Address Line | 7737 NEW FALLS RD
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City | LEVITTOWN
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State | PA
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Zip | 19055-1013
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Country | US
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Telephone | 215-486-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 7737 NEW FALLS RD
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City | LEVITTOWN
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State | PA
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Zip | 19055-1013
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Country | US
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Telephone | 215-486-7300
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Fax |
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Authorized Official
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Title or Position | AO
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Name | HIREN PATEL
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Credential |
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Telephone | 215-486-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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