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General NPI Number Information
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NPI Number | 1265631337
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Entity Type | Organization
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Legal Business Name | ELDA KANZKI-VELOSO
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 7500 SW 8TH ST SUITE 309
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City | MIAMI
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State | FL
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Zip | 33144-4400
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Country | US
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Telephone | 305-742-8826
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Fax | 305-262-6038
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Provider Business Mailing Address
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Address Line | 7500 SW 8TH ST SUITE 309
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City | MIAMI
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State | FL
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Zip | 33144-4400
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Country | US
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Telephone | 305-742-8826
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Fax | 305-262-6038
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ELDA KANZKI VELOSO
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Credential | PHD
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Telephone | 304-742-8826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | LMHC8406
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License Number State | FL
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