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General NPI Number Information
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NPI Number | 1528978731
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Entity Type | Individual
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Provider Name | SIDNEY VENERIS
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Gender |
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 119 N COMMERCIAL ST STE 1200100
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City | BELLINGHAM
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State | WA
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Zip | 98225-4446
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Country | US
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Telephone | 360-734-0615
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PROSPECT ST APT 10
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City | BELLINGHAM
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State | WA
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Zip | 98225-4425
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Country | US
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Telephone | 805-722-5981
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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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