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General NPI Number Information
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NPI Number | 1952902116
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Entity Type | Organization
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Legal Business Name | VESTA TELEMEDICINE SOLUTIONS, PLLC
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 601 CARUSO AVE
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City | GLENDALE
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State | CA
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Zip | 91210-1520
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Country | US
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Telephone | 407-738-4085
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Fax | 407-469-5300
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Provider Business Mailing Address
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Address Line | PO BOX 952020
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City | LAKE MARY
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State | FL
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Zip | 32795-2020
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Country | US
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Telephone | 407-738-4085
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Fax |
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Authorized Official
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Title or Position | CONTRACT LIAISON MANAGER
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Name | APRIL SLADE
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Credential |
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Telephone | 407-738-4085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085P0229X
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Taxonomy Name | Pediatric Radiology Physician
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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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 | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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