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General NPI Number Information
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NPI Number | 1962347831
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Entity Type | Organization
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Legal Business Name | VITALITY DRIP BAR, LLC
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 3846 BUSINESS PARK DR
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City | AMARILLO
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State | TX
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Zip | 79110-4200
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Country | US
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Telephone | 806-699-1434
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Fax | 806-699-1434
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Provider Business Mailing Address
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Address Line | 3846 BUSINESS PARK DR
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City | AMARILLO
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State | TX
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Zip | 79110-4200
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Country | US
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Telephone | 806-699-1434
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Fax | 806-699-1434
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Authorized Official
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Title or Position | OWNER
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Name | BECKY RENE BURTON
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Credential | RN
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Telephone | 806-220-3781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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