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General NPI Number Information
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NPI Number | 1811856552
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Entity Type | Organization
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Legal Business Name | 5TH VITAL LLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 9201 WARREN PKWY STE 20027
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City | FRISCO
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State | TX
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Zip | 75035-6202
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Country | US
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Telephone | 469-689-2404
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Fax | 469-689-2422
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Provider Business Mailing Address
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Address Line | 9201 WARREN PKWY STE 20027
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City | FRISCO
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State | TX
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Zip | 75035-6202
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Country | US
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Telephone | 469-689-2404
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Fax | 469-689-2422
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Authorized Official
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Title or Position | ADMIN
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Name | ASAD KHAN
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Credential |
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Telephone | 973-699-6689
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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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 | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number |
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License Number State |
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