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General NPI Number Information
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NPI Number | 1215754536
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Entity Type | Organization
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Legal Business Name | VEBRON HEALTH PLLC
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 2530 MERIDIAN PKWY STE 300
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City | DURHAM
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State | NC
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Zip | 27713-5273
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Country | US
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Telephone | 919-633-4593
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Fax | 949-862-7954
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Provider Business Mailing Address
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Address Line | PO BOX 52612
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City | DURHAM
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State | NC
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Zip | 27717-2612
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Country | US
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Telephone | 919-633-4593
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | VIVIAN HENRY-AJUDUA
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Credential | PMHNP-C
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Telephone | 919-949-4351
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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 |
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License Number State |
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