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General NPI Number Information
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NPI Number | 1851448641
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Entity Type | Individual
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Provider Name | JOHN THOMAS VERNON MD
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 06/23/2010
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Provider Practice Location Address
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Address Line | 1200 E BROAD ST EIGHTH FLOOR, EAST WING, ROOM #8-209C
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City | RICHMOND
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State | VA
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Zip | 23298-5058
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Country | US
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Telephone | 804-628-8526
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 E BROAD ST PO BOX 980710
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City | RICHMOND
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State | VA
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Zip | 23298-5058
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Country | US
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Telephone | 804-628-8526
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0101247552
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License Number State | VA
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