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General NPI Number Information
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NPI Number | 1194180547
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Entity Type | Organization
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Legal Business Name | VERITAS WELLNESS
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 12/29/2015
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Provider Practice Location Address
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Address Line | 313 WASHINGTON ST 3RD FLOOR
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City | NEWTON
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State | MA
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Zip | 02458-1626
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Country | US
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Telephone | 401-595-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 313 WASHINGTON ST 3RD FLOOR
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City | NEWTON
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State | MA
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Zip | 02458-1626
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Country | US
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Telephone | 401-595-0600
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. NADA MILOSAVLJEVIC
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Credential | MD, JD
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Telephone | 401-595-0600
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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 | 220689
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License Number State | MA
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