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General NPI Number Information
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NPI Number | 1710539978
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Entity Type | Individual
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Provider Name | BRIAN VERAS PT, DPT,MS, LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 02/22/2023
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Provider Practice Location Address
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Address Line | 26 N 6TH ST APT 268
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City | ALLENTOWN
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State | PA
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Zip | 18101-1430
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Country | US
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Telephone | 908-328-4318
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Fax |
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Provider Business Mailing Address
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Address Line | 69 SOWERS DR
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City | HACKETTSTOWN
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State | NJ
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Zip | 07840-7625
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Country | US
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Telephone | 908-328-4318
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT007335
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT030917
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License Number State | PA
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