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General NPI Number Information
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NPI Number | 1760114672
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Entity Type | Organization
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Legal Business Name | VIP 2U, LTD.
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 02/21/2024
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Provider Practice Location Address
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Address Line | 3500 LENOX RD NE STE 1500
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City | ATLANTA
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State | GA
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Zip | 30326-4231
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Country | US
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Telephone | 312-728-4728
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Fax |
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Provider Business Mailing Address
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Address Line | 360 W BUTTERFIELD RD STE 325
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City | ELMHURST
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State | IL
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Zip | 60126-5088
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Country | US
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Telephone | 312-728-4728
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Fax | 312-728-4729
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Authorized Official
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Title or Position | MANAGER BILLING CODING CREDENTIALIN
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Name | JENNIFER ZAMORA
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Credential |
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Telephone | 312-728-4728
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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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