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General NPI Number Information
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NPI Number | 1902687114
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Entity Type | Organization
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Legal Business Name | VIBE HUNTSVILLE PLLC
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Dates
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Enumeration Date | 10/12/2023
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Last Update Date | 10/12/2023
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Provider Practice Location Address
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Address Line | 1807 UNIVERSITY DR NW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5744
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Country | US
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Telephone | 256-536-7414
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Fax | 256-536-7471
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Provider Business Mailing Address
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Address Line | 1807 UNIVERSITY DR NW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5744
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Country | US
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Telephone | 256-536-7414
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Fax | 256-536-7471
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | KIM WHITE
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Credential |
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Telephone | 615-512-1839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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