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General NPI Number Information
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NPI Number | 1033706437
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Entity Type | Organization
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Legal Business Name | VERIDIAN FISCAL SOLUTIONS LLC
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Dates
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Enumeration Date | 12/31/2020
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 233 FISHER DR
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City | WATERLOO
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State | IA
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Zip | 50701-9008
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Country | US
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Telephone | 855-828-0775
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4502
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City | WATERLOO
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State | IA
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Zip | 50704-4502
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Country | US
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Telephone | 855-828-0775
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Fax |
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Authorized Official
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Title or Position | ACCOUNTING AND BILLING SUPERVISOR
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Name | DENICCA LUKER
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Credential |
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Telephone | 319-833-1187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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