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General NPI Number Information
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NPI Number | 1215109806
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Entity Type | Organization
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Legal Business Name | VERONES & COMPANY PLC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 2 PINE LAKES PKWY N SUITE 6
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City | PALM COAST
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State | FL
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Zip | 32137-3643
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Country | US
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Telephone | 386-447-4145
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Fax | 386-447-2827
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Provider Business Mailing Address
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Address Line | 2 PINE LAKES PKWY N SUITE 6
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City | PALM COAST
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State | FL
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Zip | 32137-3643
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Country | US
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Telephone | 386-447-4145
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Fax | 386-447-2827
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENISE VERONES
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Credential | PHD
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Telephone | 386-447-4145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY4273
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License Number State | FL
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