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General NPI Number Information
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NPI Number | 1346318441
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Entity Type | Individual
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Provider Name | DEBORAH VERUCCHI CNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/13/2019
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Provider Practice Location Address
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Address Line | 5740 GETWELL RD STE B
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City | SOUTHAVEN
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State | MS
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Zip | 38672
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Country | US
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Telephone | 662-470-6845
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Fax | 662-874-5190
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Provider Business Mailing Address
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Address Line | 5740 GETWELL RD BLDG 1
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City | SOUTHAVEN
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State | MS
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Zip | 38672-6346
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Country | US
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Telephone | 662-470-6845
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Fax | 662-874-5190
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0000007251
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 901468
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License Number State | MS
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