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General NPI Number Information
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NPI Number | 1710190095
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Entity Type | Individual
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Provider Name | SANJAY VERMA M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 81709 DR CARREON BLVD STE C4
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City | INDIO
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State | CA
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Zip | 92201-5577
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Country | US
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Telephone | 760-984-0003
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Fax | 442-300-2135
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Provider Business Mailing Address
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Address Line | 47647 CALEO BAY DR STE 210
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City | LA QUINTA
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State | CA
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Zip | 92253-8858
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Country | US
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Telephone | 714-771-1000
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Fax | 714-771-9001
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | A105189
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | DR.0056532
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | MD186631
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License Number State | OR
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