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General NPI Number Information
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NPI Number | 1003613233
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Entity Type | Individual
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Provider Name | JUAN FRANCISCO VERA CEP
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Gender | Male
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 3411 SILVERSIDE RD BLDG SUITE100
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City | WILMINGTON
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State | DE
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Zip | 19810-4812
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Country | US
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Telephone | 302-543-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 110 BRADFORD AVE
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City | DOWNINGTOWN
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State | PA
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Zip | 19335-2809
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Country | US
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Telephone | 512-809-4763
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Y00000X
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Taxonomy Name | Clinical Exercise Physiologist
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License Number | 1075426
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License Number State | PA
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