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General NPI Number Information
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NPI Number | 1780706036
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Entity Type | Organization
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Legal Business Name | AJAY VERMA MEDICAL PC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 421 HUGUENOT ST SUITE 33
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-7004
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Country | US
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Telephone | 914-632-6060
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Fax | 914-632-6218
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Provider Business Mailing Address
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Address Line | 421 HUGUENOT ST SUITE 33
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City | NEW ROCHELLE
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State | NY
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Zip | 10801-7004
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Country | US
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Telephone | 914-632-6060
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Fax | 914-632-6218
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AJAY VERMA
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Credential | MD
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Telephone | 914-632-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 163990
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License Number State | NY
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