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General NPI Number Information
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NPI Number | 1083403059
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Entity Type | Individual
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Provider Name | VEENA SAHITHI JEEDIGUNTA
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Gender | Female
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 4210 NW 37TH PL STE 700
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City | GAINESVILLE
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State | FL
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Zip | 32606-7702
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Country | US
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Telephone | 352-469-4507
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Fax |
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Provider Business Mailing Address
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Address Line | 5079 SUNDROP WAY
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City | JACKSONVILLE
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State | FL
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Zip | 32257-6182
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | R11688
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH27649
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License Number State | FL
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