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General NPI Number Information
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NPI Number | 1528596707
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Entity Type | Individual
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Provider Name | VERONICA LORRAINE FAUSTO-MELCHOR MSW
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Gender | Female
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Dates
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Enumeration Date | 05/31/2017
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Last Update Date | 05/31/2017
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Provider Practice Location Address
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Address Line | 44199 MONROE ST
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City | INDIO
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State | CA
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Zip | 92201-3096
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Country | US
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Telephone | 760-863-2578
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Fax |
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Provider Business Mailing Address
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Address Line | 51949 HERNANDEZ ST
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City | COACHELLA
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State | CA
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Zip | 92236-3720
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Country | US
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Telephone | 760-625-5689
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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 |
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