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General NPI Number Information
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NPI Number | 1861965709
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Entity Type | Individual
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Provider Name | MARIBEL E VELEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 01/03/2019
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 2680 OPITZ BLVD STE 220
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City | WOODBRIDGE
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State | VA
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Zip | 22192-6822
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Country | US
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Telephone | 703-490-1905
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Fax | 703-497-1225
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Provider Business Mailing Address
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Address Line | 607 WASHINGTON WAY
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City | HAINES CITY
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State | FL
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Zip | 33844-6434
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Country | US
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Telephone | 305-721-0340
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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 | 0701007658
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License Number State | VA
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