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General NPI Number Information
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NPI Number | 1184201501
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Entity Type | Individual
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Provider Name | STEVEN LEE VESELSKY DO
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Gender | Male
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Dates
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Enumeration Date | 03/24/2021
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2171 LAVISTA RD NE STE 100
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City | ATLANTA
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State | GA
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Zip | 30329-3992
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Country | US
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Telephone | 404-982-8009
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Fax |
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Provider Business Mailing Address
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Address Line | 1107 E 66TH ST
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City | SAVANNAH
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State | GA
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Zip | 31404-5701
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Country | US
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Telephone | 912-350-8404
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 99611
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License Number State | GA
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