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General NPI Number Information
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NPI Number | 1700223765
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Entity Type | Organization
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Legal Business Name | ROGER R. VERNO, D.C.P.A.
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 2407 10TH AVE N
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City | LAKE WORTH
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State | FL
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Zip | 33461-3128
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Country | US
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Telephone | 562-432-6786
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Fax |
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Provider Business Mailing Address
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Address Line | 2407 10TH AVE N
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City | LAKE WORTH
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State | FL
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Zip | 33461-3128
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Country | US
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Telephone | 562-432-6786
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROGER ROBERT VERNO
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Credential | D.C.
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Telephone | 561-432-6786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | FL1169282
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH5059
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License Number State | FL
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