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General NPI Number Information
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NPI Number | 1265773139
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Entity Type | Individual
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Provider Name | JAMES M VERA RESPIRATORY
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Gender | Male
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Dates
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Enumeration Date | 03/02/2013
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Last Update Date | 03/02/2013
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Provider Practice Location Address
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Address Line | 84 PROGRESS LN
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City | WATERBURY
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State | CT
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Zip | 06705-3863
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Country | US
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Telephone | 203-753-7778
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Fax |
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Provider Business Mailing Address
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Address Line | 12 FAIRVIEW AVE
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City | NAUGATUCK
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State | CT
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Zip | 06770-4011
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Country | US
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Telephone | 203-565-9936
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Fax |
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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 | 2278H0200X
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Taxonomy Name | Home Health Certified Respiratory Therapist
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License Number | 001885
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License Number State | CT
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