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NPI 1467437897

NPI 1467437897 : VERONIKA ANN SURBER PA C : HUBERT, NC

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General NPI Number Information
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    NPI Number           |    1467437897
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    Entity Type          |    Individual 
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    Provider Name        |    VERONIKA ANN SURBER PA C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/08/2005
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    Last Update Date     |    05/11/2025
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Provider Practice Location Address
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    Address Line         |    1537 FREEDOM WAY STE 2 
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    City                 |    HUBERT
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    State                |    NC
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    Zip                  |    28539-3647
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    Country              |    US
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    Telephone            |    910-238-4268
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 103 
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    City                 |    HUBERT
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    State                |    NC
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    Zip                  |    28539-0103
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    Country              |    US
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    Telephone            |    910-238-4268
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    Fax                  |    877-349-0201
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    001000414
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    0010-00414
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    License Number State |    NC
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