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General NPI Number Information
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NPI Number | 1023196383
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Entity Type | Individual
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Provider Name | BRENDA M. VEILLEUX LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 12 NORTH PARK STREET 2ND FL.
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City | SENECA FALLS
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State | NY
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Zip | 13148-1347
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Country | US
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Telephone | 315-568-9412
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Fax | 315-568-6718
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Provider Business Mailing Address
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Address Line | 12 NORTH PARK STREET, SENECA FALLS, NY 3148
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City | SENECA FALLS
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State | NY
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Zip | 13148
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Country | US
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Telephone | 315-568-9412
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Fax | 315-568-6718
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0748171
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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