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General NPI Number Information
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NPI Number | 1891812657
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Entity Type | Individual
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Provider Name | LYNN MARIE VEACH LPCC
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Gender | Female
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 424 E 4TH B1
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City | ROSWELL
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State | NM
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Zip | 88201
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Country | US
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Telephone | 575-551-8335
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3491 424 E4 B1
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City | ROSWELL
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State | NM
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Zip | 88202-3491
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Country | US
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Telephone | 575-551-8335
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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 | 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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 977
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License Number State | WY
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