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General NPI Number Information
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NPI Number | 1841495496
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Entity Type | Individual
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Provider Name | CARRIE GARRETSON VEY MD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2007
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Last Update Date | 10/11/2011
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Provider Practice Location Address
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Address Line | 201 N CLYDE MORRIS BLVD STE 200
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2724
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Country | US
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Telephone | 386-947-4665
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Fax | 386-258-4891
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Provider Business Mailing Address
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Address Line | PO BOX 864074 HALIFAX HEALTHCARE SYSTEMS, INC.
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City | ORLANDO
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State | FL
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Zip | 32886-4704
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Country | US
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Telephone | 386-254-4165
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Fax | 386-258-4891
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME99494
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License Number State | FL
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