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General NPI Number Information
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NPI Number | 1790591832
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Entity Type | Individual
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Provider Name | NICHOLAS A VEESER RBT
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Gender | Male
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Dates
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Enumeration Date | 12/04/2024
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 3832 SW 33RD CT
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City | WEST PARK
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State | FL
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Zip | 33023-5631
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Country | US
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Telephone | 954-947-5061
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Fax |
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Provider Business Mailing Address
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Address Line | 1728 NW 163RD TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-1709
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Country | US
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Telephone | 954-330-3752
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-23-309796
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License Number State | FL
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