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General NPI Number Information
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NPI Number | 1467341628
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Entity Type | Organization
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Legal Business Name | VEN MENTAL HEALTH AND TMS CLINIC LLC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 711 N SIOUX POINT RD STE 200
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City | DAKOTA DUNES
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State | SD
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Zip | 57049-5067
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Country | US
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Telephone | 712-234-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 600 4TH ST STE 501
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City | SIOUX CITY
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State | IA
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Zip | 51101-1606
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Country | US
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Telephone | 712-234-0220
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Fax | 712-234-0225
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Authorized Official
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Title or Position | PRESIDENT
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Name | VITHYALAKSHMI SELVARAJ
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Credential | MD
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Telephone | 402-990-9630
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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