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NPI 1861200057

NPI 1861200057 : VERO LYNN CREATIONS : JOPPA, MD

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General NPI Number Information
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    NPI Number           |    1861200057
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    Entity Type          |    Organization 
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    Legal Business Name  |    VERO LYNN CREATIONS 
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Dates
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    Enumeration Date     |    12/20/2024
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    Last Update Date     |    06/04/2025
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Provider Practice Location Address
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    Address Line         |    1502 SINGER RD 
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    City                 |    JOPPA
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    State                |    MD
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    Zip                  |    21085-2101
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    Country              |    US
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    Telephone            |    443-390-9525
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1502 SINGER RD 
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    City                 |    JOPPA
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    State                |    MD
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    Zip                  |    21085-2101
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    Country              |    US
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    Telephone            |    484-889-9038
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER/FOUNDER/CLINICAL DIRECTOR
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    Name                 |    MRS. VERONICA LYNN BECERRA RIVERA 
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    Credential           |    LCPC
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    Telephone            |    443-390-9525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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