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General NPI Number Information
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NPI Number | 1609631761
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Entity Type | Individual
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Provider Name | SHAWN VEASEY
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Gender | Female
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 02/19/2024
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Provider Practice Location Address
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Address Line | 10711 RED RUN BLVD STE 112
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5138
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Country | US
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Telephone | 410-298-4642
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Fax |
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Provider Business Mailing Address
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Address Line | 1968 S COAST HWY # 3930
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-3681
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Country | US
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Telephone | 443-329-8555
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 31072
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License Number State | MD
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