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General NPI Number Information
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NPI Number | 1841754553
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Entity Type | Individual
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Provider Name | JOIE LYNETTE VECCHIONE POLTL AMFT
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Gender | Female
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Dates
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Enumeration Date | 01/27/2019
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Last Update Date | 01/27/2019
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Provider Practice Location Address
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Address Line | 1244 PINE ST STE 218
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City | PASO ROBLES
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State | CA
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Zip | 93446-7242
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Country | US
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Telephone | 805-550-5447
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Fax |
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Provider Business Mailing Address
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Address Line | 804 SAINT ANDREWS CIR
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City | PASO ROBLES
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State | CA
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Zip | 93446-4636
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Country | US
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Telephone | 805-550-5447
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 76040
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License Number State | CA
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