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General NPI Number Information
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NPI Number | 1831079177
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Entity Type | Organization
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Legal Business Name | VITALHEALTHNP PLLC
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 956 TWILIGHT PEAK AVE
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City | HENDERSON
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State | NV
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Zip | 89012-5102
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Country | US
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Telephone | 714-625-7122
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Fax |
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Provider Business Mailing Address
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Address Line | 956 TWILIGHT PEAK AVE
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City | HENDERSON
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State | NV
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Zip | 89012-5102
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Country | US
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Telephone |
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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 | KYRA SLADE
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Credential | FNP-C
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Telephone | 714-625-7122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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