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General NPI Number Information
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NPI Number | 1932089547
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Entity Type | Organization
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Legal Business Name | VIRTUAL PREVENTIVE CARE SERVICE
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 507 S MARYLAND AVE STE 3
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City | WILMINGTON
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State | DE
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Zip | 19804-1611
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Country | US
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Telephone | 215-847-7711
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Fax | 610-734-0272
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Provider Business Mailing Address
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Address Line | 7018 SAYBROOK AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19142-1124
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Country | US
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Telephone | 215-847-7711
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Fax | 610-734-0272
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Authorized Official
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Title or Position | CEO
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Name | KATINA GEIGER
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Credential |
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Telephone | 215-847-7711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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