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General NPI Number Information
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NPI Number | 1912418849
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Entity Type | Organization
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Legal Business Name | VIVIO HEALTH, INC.
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 1933 DAVIS ST SUITE 318
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City | SAN LEANDRO
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State | CA
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Zip | 94577-9457
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Country | US
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Telephone | 925-365-6600
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Fax | 888-677-6754
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Provider Business Mailing Address
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Address Line | 1933 DAVIS ST STE 318
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City | SAN LEANDRO
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State | CA
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Zip | 94577-1259
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Country | US
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Telephone | 925-365-6600
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Fax | 888-677-6754
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Authorized Official
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Title or Position | CEO
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Name | PRAMOD JOHN
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Credential | PHD
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Telephone | 925-365-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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