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General NPI Number Information
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NPI Number | 1972813020
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Entity Type | Organization
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Legal Business Name | VITAL FOR LIFE, INC.
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 7351 WEST OAKLAND PARK BLVD STE 101
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City | LAUDERHILL
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State | FL
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Zip | 33319-1041
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Country | US
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Telephone | 954-748-9744
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Fax | 954-208-7416
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Provider Business Mailing Address
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Address Line | 7351 WEST OAKLAND PARK BLVD STE 101
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City | LAUDERHILL
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State | FL
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Zip | 33319-1041
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Country | US
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Telephone | 954-748-9744
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Fax | 954-208-7416
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | APRIL RYMER
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Credential | APRN
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Telephone | 954-748-9744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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