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General NPI Number Information
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NPI Number | 1457077521
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Entity Type | Organization
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Legal Business Name | RESILIENCY PSYCHOLOGY LLC
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 251 MAITLAND AVE STE 203
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-4911
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Country | US
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Telephone | 787-348-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 675 N HUNT CLUB BLVD # 1040
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City | LONGWOOD
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State | FL
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Zip | 32779-2205
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Country | US
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Telephone | 787-348-5709
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | VERONICA M RIVERA VELEZ
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Credential | PSY.D
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Telephone | 787-348-5709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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