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General NPI Number Information
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NPI Number | 1063533594
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Entity Type | Organization
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Legal Business Name | VERMA MEDICAL SERVICES, S.C.
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 721 AMERICAN AVE SUITE#409
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City | WAUKESHA
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State | WI
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Zip | 53188-5071
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Country | US
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Telephone | 262-928-8610
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Fax | 262-928-8615
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Provider Business Mailing Address
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Address Line | 2030 SPRINGBROOK S
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City | WAUKESHA
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State | WI
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Zip | 53186-1201
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Country | US
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Telephone | 262-928-8610
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Fax | 262-928-8615
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ASHISH VERMA
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Credential | MD
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Telephone | 262-928-8610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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