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General NPI Number Information
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NPI Number | 1285848598
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Entity Type | Organization
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Legal Business Name | VERO RENAL ASSOCIATES P A
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 777 37TH ST SUITE C-107
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City | VERO BEACH
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State | FL
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Zip | 32960-4873
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Country | US
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Telephone | 772-562-3234
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Fax | 772-562-3236
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Provider Business Mailing Address
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Address Line | 777 37TH ST SUITE C-107
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City | VERO BEACH
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State | FL
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Zip | 32960-4873
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Country | US
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Telephone | 772-562-3234
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Fax | 772-562-3236
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RICHARD J HANDLER
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Credential | M.D.
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Telephone | 772-562-3234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | ME74680
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License Number State | FL
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