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General NPI Number Information
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NPI Number | 1851235212
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Entity Type | Organization
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Legal Business Name | VITAL WELLNESS NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 182 S MAIN ST STE 104
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City | NEW CITY
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State | NY
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Zip | 10956-3318
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Country | US
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Telephone | 845-358-4000
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Fax | 845-358-4418
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Provider Business Mailing Address
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Address Line | 182 S MAIN ST STE 104
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City | NEW CITY
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State | NY
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Zip | 10956-3318
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Country | US
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Telephone | 845-270-5081
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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 | MS. ANSA SAJI KANDAMKULATHY
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Credential | FNP,RN,CNN
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Telephone | 845-270-5081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | NULL
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