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General NPI Number Information
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NPI Number | 1821811340
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Entity Type | Organization
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Legal Business Name | VITALITY HEALTH SERVICES, PLLC
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 22999 HWY 59 N
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City | KINGWOOD
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State | TX
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Zip | 77339-4412
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Country | US
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Telephone | 832-985-4077
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 322
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City | WILLIS
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State | TX
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Zip | 77378-0322
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Country | US
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Telephone | 832-985-4077
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | RHONDA G ROZELL
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Credential | AGPCNP
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Telephone | 832-985-4077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care 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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