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General NPI Number Information
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NPI Number | 1144623372
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Entity Type | Individual
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Provider Name | NELI VELENTZAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 08/23/2019
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Provider Practice Location Address
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Address Line | 2100 WASHINGTON BLVD FL 4
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City | ARLINGTON
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State | VA
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Zip | 22204-5717
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Country | US
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Telephone | 703-228-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 PERRY ST NE APT 104
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City | WASHINGTON
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State | DC
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Zip | 20017-1706
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Country | US
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Telephone | 352-283-6604
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LG50080335
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License Number State | DC
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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 | 0904010637
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License Number State | VA
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