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General NPI Number Information
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NPI Number | 1548310386
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Entity Type | Individual
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Provider Name | VERONICA M CORCINO MD
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/10/2018
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Provider Practice Location Address
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Address Line | 3412 GRAYSTONE PL SE STE B
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City | CONOVER
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State | NC
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Zip | 28613
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Country | US
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Telephone | 828-326-2145
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Fax | 828-326-2922
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Provider Business Mailing Address
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Address Line | 3412 GRAYSTONE PL SE STE B
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City | CONOVER
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State | NC
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Zip | 28613-8263
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Country | US
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Telephone | 828-326-2145
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Fax | 828-326-2922
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2018-02145
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 2018-02145
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License Number State | NC
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