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General NPI Number Information
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NPI Number | 1184595183
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Entity Type | Organization
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Legal Business Name | VERTA LLC
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 125 KINGS HWY
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City | BROOKLYN
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State | NY
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Zip | 11223-1068
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Country | US
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Telephone | 445-205-9768
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Fax |
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Provider Business Mailing Address
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Address Line | 212 COMMONS WAY
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City | DOYLESTOWN
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State | PA
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Zip | 18901-5803
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Country | US
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Telephone | 877-341-4172
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Fax | 877-341-4172
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Authorized Official
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Title or Position | CEO
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Name | STANISLAV REAZANTEV
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Credential |
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Telephone | 877-341-4172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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