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General NPI Number Information
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NPI Number | 1912878349
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Entity Type | Organization
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Legal Business Name | VITALITY HORMONE AND HEALTH LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 7027 OLD MADISON PIKE NW STE 108A
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City | HUNTSVILLE
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State | AL
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Zip | 35806-2369
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Country | US
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Telephone | 256-803-0230
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Fax | 866-485-6580
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Provider Business Mailing Address
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Address Line | 151 E 85TH ST APT 8H
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City | NEW YORK
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State | NY
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Zip | 10028-8103
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Country | US
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Telephone | 256-679-6848
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Fax | 866-485-6580
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Authorized Official
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Title or Position | NURSE PRACTITIONER/OWNER
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Name | KARI DEGRANDPRE
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Credential | CNNP
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Telephone | 256-803-0230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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