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NPI 1861254799

NPI 1861254799 : VELVET CAROLINE FERRARI : ROME, GA

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General NPI Number Information
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    NPI Number           |    1861254799
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    Entity Type          |    Individual 
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    Provider Name        |    VELVET CAROLINE FERRARI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/25/2024
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    Last Update Date     |    01/25/2024
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Provider Practice Location Address
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    Address Line         |    7 BOULDER DR NW 
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    City                 |    ROME
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    State                |    GA
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    Zip                  |    30165-1074
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    Country              |    US
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    Telephone            |    678-315-5782
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7 BOULDER DR NW 
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    City                 |    ROME
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    State                |    GA
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    Zip                  |    30165-1074
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    Country              |    US
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    Telephone            |    678-315-5782
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    LPC013760
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    License Number State |    GA
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