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NPI 1700538048

NPI 1700538048 : VERITAS CENTERS : VENTURA, CA

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General NPI Number Information
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    NPI Number           |    1700538048
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    Entity Type          |    Organization 
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    Legal Business Name  |    VERITAS CENTERS 
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Dates
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    Enumeration Date     |    01/18/2022
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    Last Update Date     |    01/18/2022
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Provider Practice Location Address
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    Address Line         |    4675 FOOTHILL RD 
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    City                 |    VENTURA
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    State                |    CA
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    Zip                  |    93003-1903
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    Country              |    US
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    Telephone            |    805-889-2578
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2989 
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    City                 |    VENTURA
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    State                |    CA
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    Zip                  |    93002-2989
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    Country              |    US
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    Telephone            |    805-889-2578
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MISS MARCIA VASCONCELOS NEVILLE 
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    Credential           |    LMFT
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    Telephone            |    805-889-2578
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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