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General NPI Number Information
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NPI Number | 1457142317
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Entity Type | Individual
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Provider Name | VANESSA ADRIANA PEREZ VALENCIA
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Gender | Female
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 200 HOSPITAL DR STE 300
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City | GLEN BURNIE
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State | MD
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Zip | 21061-5884
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Country | US
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Telephone | 863-266-2263
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 N CHARLES ST
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City | BALTIMORE
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State | MD
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Zip | 21201-5505
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Country | US
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Telephone | 863-266-2263
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | MD
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