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General NPI Number Information
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NPI Number | 1831423128
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Entity Type | Individual
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Provider Name | EMYNNE MARJORIE VELOZ LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/21/2009
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | 1201 NW 16TH ST
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City | MIAMI
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State | FL
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Zip | 33125-1624
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Country | US
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Telephone | 53-575-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 440NE63RD ST 4
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City | MIAMI
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State | FL
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Zip | 33138-6155
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Country | US
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Telephone | 917-657-6644
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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 | SW10875
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License Number State | FL
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