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NPI 1730651480

NPI 1730651480 : ALLEN DEAN VEREN PA-C : BROWNSBURG, IN

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General NPI Number Information
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    NPI Number           |    1730651480
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    Entity Type          |    Individual 
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    Provider Name        |    ALLEN DEAN VEREN PA-C
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/19/2018
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    Last Update Date     |    09/12/2025
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Provider Practice Location Address
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    Address Line         |    9070 E 56TH ST STE 400 
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    City                 |    BROWNSBURG
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    State                |    IN
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    Zip                  |    46112-7074
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    Country              |    US
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    Telephone            |    317-268-3600
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    Fax                  |    317-268-3399
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Provider Business Mailing Address
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    Address Line         |    8450 NORTHWEST BLVD 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46278-1381
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    Country              |    US
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    Telephone            |    317-802-2000
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    Fax                  |    317-802-2170
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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        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    1874
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    License Number State |    AL
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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       |    10004837A
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    License Number State |    IN
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