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General NPI Number Information
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NPI Number | 1053286583
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Entity Type | Individual
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Provider Name | VERONICA IVET SERRANO LMSW,CHW
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Gender | Female
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Dates
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Enumeration Date | 10/06/2025
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 1200 W 17TH ST
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City | GEORGETOWN
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State | TX
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Zip | 78626-7723
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Country | US
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Telephone | 512-882-4262
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ENGINEERS PASS
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City | JARRELL
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State | TX
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Zip | 76537-1695
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Country | US
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Telephone | 737-346-5413
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Fax |
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 116484
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License Number State | TX
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