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General NPI Number Information
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NPI Number | 1386851855
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Entity Type | Individual
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Provider Name | FORTUNATA VERDETTI M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 2128 BLAKESLEE BOULEVARD DR E
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City | LEHIGHTON
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State | PA
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Zip | 18235-9619
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Country | US
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Telephone | 610-402-5369
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 1096
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City | KINGSTON
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State | PA
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Zip | 18704-0096
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Country | US
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Telephone | 570-208-5534
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Fax | 570-208-5548
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD431433
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License Number State | PA
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