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General NPI Number Information
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NPI Number | 1912710310
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Entity Type | Organization
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Legal Business Name | VICI HEALTH SCIENCES
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 6679 SANTA BARBARA RD
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City | ELKRIDGE
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State | MD
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Zip | 21075-5846
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Country | US
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Telephone | 410-403-3939
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Fax | 443-445-6813
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Provider Business Mailing Address
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Address Line | 6679 SANTA BARBARA RD
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City | ELKRIDGE
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State | MD
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Zip | 21075-5846
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Country | US
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Telephone | 410-403-3939
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Fax | 443-445-6813
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | DR. FRANCESCA MINALE
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Credential | PHD
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Telephone | 443-445-6813
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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