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General NPI Number Information
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NPI Number | 1164517447
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Entity Type | Individual
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Provider Name | KRISHNA MURARI VERMA M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 1810 WESTWOOD AVE W PSYCHOLOGICAL MEDICINE CLINIC, PLLC
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City | WILSON
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State | NC
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Zip | 27893-2143
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Country | US
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Telephone | 252-291-6200
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Fax | 252-291-2147
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Provider Business Mailing Address
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Address Line | 1810 WESTWOOD AVE PSYCHOLOGICAL MEDICINE CLINIC, PLLC
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City | WILSON
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State | NC
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Zip | 27893-2143
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Country | US
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Telephone | 252-291-6200
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Fax | 252-291-2147
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 38707
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License Number State | NC
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