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General NPI Number Information
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NPI Number | 1962092486
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Entity Type | Organization
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Legal Business Name | VIRTI MD PC
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 01/19/2021
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Provider Practice Location Address
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Address Line | 420 38TH ST
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City | UNION CITY
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State | NJ
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Zip | 07087-4995
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Country | US
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Telephone | 787-539-2970
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CURTIS AVE
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City | WEST ORANGE
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State | NJ
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Zip | 07052-2306
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Country | US
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Telephone | 347-860-4763
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. FRANCISCO MARTINEZ
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Credential |
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Telephone | 787-539-2970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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