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General NPI Number Information
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NPI Number | 1952479800
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Entity Type | Individual
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Provider Name | VERA M SOLOVIEVA MD
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 09/25/2013
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Provider Practice Location Address
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Address Line | 9005 OLD RIVER RD
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City | MARCY
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State | NY
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Zip | 13403-3000
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Country | US
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Telephone | 315-765-3246
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Fax | 315-765-3629
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Provider Business Mailing Address
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Address Line | 4 REGAL PL
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City | NEW HARTFORD
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State | NY
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Zip | 13413-3212
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Country | US
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Telephone | 315-251-4855
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Fax | 315-765-3629
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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 | 246592
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License Number State | NY
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