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General NPI Number Information
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NPI Number | 1184256513
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Entity Type | Organization
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Legal Business Name | VERITAS BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 09/09/2020
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Provider Practice Location Address
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Address Line | 2241M TACKETTS MILL DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-3029
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Country | US
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Telephone | 571-777-0970
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Fax | 571-777-0960
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Provider Business Mailing Address
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Address Line | 2241M TACKETTS MILL DR
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City | WOODBRIDGE
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State | VA
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Zip | 22192-3029
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Country | US
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Telephone | 571-777-0970
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Fax | 571-777-0960
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | JEREMY J MCDANIEL
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Credential |
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Telephone | 571-777-0970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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