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General NPI Number Information
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NPI Number | 1134120546
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Entity Type | Organization
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Legal Business Name | VERO RADIOLOGY ASSOCIATES LLC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 01/12/2024
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Provider Practice Location Address
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Address Line | 3725 11TH CIRCLE
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City | VERO BEACH
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State | FL
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Zip | 32960-4804
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Country | US
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Telephone | 772-562-0163
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Fax | 772-567-5631
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Provider Business Mailing Address
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Address Line | PO BOX 830674
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City | BIRMINGHAM
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State | AL
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Zip | 35283-0674
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Country | US
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Telephone | 855-666-9508
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Fax | 772-621-3184
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Authorized Official
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Title or Position | OFFICER - CAO AND CONTROLLER
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Name | TIMOTHY L. LONGVILLE
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Credential |
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Telephone | 216-636-7416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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