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General NPI Number Information
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NPI Number | 1992715247
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Entity Type | Individual
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Provider Name | PATRICK M VERB M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/09/2006
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 11441 E 12 MILE RD
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City | WARREN
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State | MI
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Zip | 48093-2639
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Country | US
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Telephone | 586-756-5060
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Fax | 586-596-9783
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Provider Business Mailing Address
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Address Line | 33080 UTICA RD
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City | FRASER
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State | MI
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Zip | 48026-2038
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Country | US
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Telephone | 586-296-7250
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Fax | 586-296-7256
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | PV033783
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License Number State | MI
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