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General NPI Number Information
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NPI Number | 1407820350
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Entity Type | Individual
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Provider Name | ALLISON VELEZ LMHC
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Gender | Female
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 2270 HIGHWAY 87
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City | NAVARRE
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State | FL
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Zip | 32566-3215
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Country | US
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Telephone | 850-376-2682
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Fax | 850-290-5756
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Provider Business Mailing Address
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Address Line | PO BOX 5897
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City | NAVARRE
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State | FL
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Zip | 32566-0897
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Country | US
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Telephone | 850-376-2682
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Fax | 850-290-5756
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 4865
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License Number State | FL
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