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General NPI Number Information
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NPI Number | 1225685613
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Entity Type | Organization
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Legal Business Name | VERO DIAGNOSTICS
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Dates
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Enumeration Date | 08/21/2019
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Last Update Date | 03/12/2021
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Provider Practice Location Address
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Address Line | 3216 S ALSTON AVE
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City | DURHAM
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State | NC
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Zip | 27713-1514
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Country | US
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Telephone | 919-341-1256
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Fax | 919-287-2310
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Provider Business Mailing Address
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Address Line | 3216 S ALSTON AVE
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City | DURHAM
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State | NC
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Zip | 27713-1514
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Country | US
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Telephone | 919-341-1256
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Fax | 919-287-2310
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | RITESH SHAH
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Credential | OWNER
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Telephone | 919-341-1256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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