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General NPI Number Information
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NPI Number | 1962266361
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Entity Type | Organization
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Legal Business Name | VITALITY HEALTHCARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2540 N GALLOWAY AVE STE 204
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City | MESQUITE
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State | TX
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Zip | 75150-4813
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Country | US
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Telephone | 469-930-0090
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Fax | 682-398-0889
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Provider Business Mailing Address
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Address Line | 2540 N GALLOWAY AVE STE 204
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City | MESQUITE
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State | TX
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Zip | 75150-4813
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Country | US
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Telephone | 469-930-0090
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Fax | 682-398-0889
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. TEIA BAILEY
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Credential |
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Telephone | 469-930-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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