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General NPI Number Information
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NPI Number | 1316792732
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Entity Type | Individual
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Provider Name | REBECA BERENICE VENEZIA MSC, CGC
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Gender | Female
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Dates
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Enumeration Date | 04/19/2024
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Last Update Date | 04/19/2024
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Provider Practice Location Address
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Address Line | 1601 E 19TH AVE STE 6450
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City | DENVER
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State | CO
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Zip | 80218-1291
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Country | US
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Telephone | 303-832-7109
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Fax |
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Provider Business Mailing Address
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Address Line | 1865 MINER CREEK LN UNIT 3
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City | CHULA VISTA
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State | CA
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Zip | 91913-5615
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Country | US
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Telephone | 917-783-9012
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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 | 170300000X
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Taxonomy Name | Genetic Counselor (M.S.)
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License Number |
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License Number State |
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