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General NPI Number Information
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NPI Number | 1891956926
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Entity Type | Individual
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Provider Name | VIJAY VERMA
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Gender | Male
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 320 E FONTANERO ST ST #301,
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-7529
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Country | US
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Telephone | 719-866-6211
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Fax | 719-866-6238
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Provider Business Mailing Address
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Address Line | 320 E FONTANERO ST ST #301,
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-7529
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Country | US
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Telephone | 719-866-6211
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Fax | 719-866-6238
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 38782
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License Number State | CO
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