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General NPI Number Information
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NPI Number | 1750785960
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Entity Type | Individual
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Provider Name | CAMILLE HOWARD-VEROVIC
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Gender | Female
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Dates
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Enumeration Date | 10/17/2014
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 245 5TH AVE STE 319
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City | NEW YORK
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State | NY
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Zip | 10016-8728
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Country | US
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Telephone | 917-540-8807
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Fax | 917-893-7723
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Provider Business Mailing Address
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Address Line | 327 BEACH 19TH ST
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City | FAR ROCKAWAY
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State | NY
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Zip | 11691-4423
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Country | US
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Telephone |
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 288897-1
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License Number State | NY
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