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General NPI Number Information
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NPI Number | 1831023845
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Entity Type | Organization
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Legal Business Name | VIDALIA HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 505 MAPLE DR
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City | VIDALIA
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State | GA
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Zip | 30474-8944
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Country | US
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Telephone | 888-207-0008
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Fax |
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Provider Business Mailing Address
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Address Line | 505 MAPLE DR
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City | VIDALIA
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State | GA
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Zip | 30474-8944
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Country | US
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Telephone | 888-207-0008
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JARED KIRBY
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Credential |
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Telephone | 912-535-8691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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