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General NPI Number Information
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NPI Number | 1851870414
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Entity Type | Individual
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Provider Name | SOLEDAD VELINA
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Gender | Female
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Dates
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Enumeration Date | 08/13/2018
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Last Update Date | 08/13/2018
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Provider Practice Location Address
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Address Line | 810 DUTCH SQUARE BLVD STE 116
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City | COLUMBIA
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State | SC
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Zip | 29210-7318
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Country | US
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Telephone | 803-336-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 710 SOLDIER GRAY LN
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City | CHAPIN
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State | SC
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Zip | 29036-7363
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Country | US
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Telephone | 917-400-3885
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 237071
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License Number State | SC
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