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General NPI Number Information
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NPI Number | 1841166071
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Entity Type | Organization
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Legal Business Name | VITAL HEALTH SOLUTIONS PLLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 624 EXECUTIVE PARK CT STE 1024A
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City | APOPKA
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State | FL
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Zip | 32703-6074
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Country | US
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Telephone | 407-329-9229
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Fax | 407-264-6008
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Provider Business Mailing Address
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Address Line | 624 EXECUTIVE PARK CT STE 1024A
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City | APOPKA
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State | FL
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Zip | 32703-6074
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Country | US
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Telephone | 407-329-9229
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Fax | 407-264-6008
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Authorized Official
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Title or Position | CO-OWNER
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Name | MATTHEW STEPHEN
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Credential |
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Telephone | 407-329-9229
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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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