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NPI 1154634830

NPI 1154634830 : VERONICA L KIRBY : PINELLAS PARK, FL

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General NPI Number Information
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    NPI Number           |    1154634830
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    Entity Type          |    Individual 
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    Provider Name        |    VERONICA L KIRBY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/22/2010
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    Last Update Date     |    07/22/2010
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Provider Practice Location Address
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    Address Line         |    3491 GANDY BLVD N SUITE 304
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    City                 |    PINELLAS PARK
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    State                |    FL
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    Zip                  |    33781-2658
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    Country              |    US
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    Telephone            |    727-547-0607
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    13220 OLD FLORIDA CIR 
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    City                 |    HUDSON
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    State                |    FL
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    Zip                  |    34669-2890
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    Country              |    US
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    Telephone            |    727-410-6962
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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        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    1074131
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    License Number State |    FL
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