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General NPI Number Information
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NPI Number | 1902674146
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Entity Type | Organization
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Legal Business Name | VEVE HEALTH SERVICES
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Dates
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Enumeration Date | 12/18/2023
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 585 MAIN ST STE 145
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City | LAUREL
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State | MD
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Zip | 20707-4354
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Country | US
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Telephone | 571-800-1855
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Fax |
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Provider Business Mailing Address
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Address Line | 11166 FAIRFAX BLVD STE 500
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City | FAIRFAX
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State | VA
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Zip | 22030-5017
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Country | US
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Telephone | 703-403-2750
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Fax | 703-403-2750
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Authorized Official
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Title or Position | OWNER
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Name | VERONIQUE KOM
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Credential | NP, PMHNP-BC
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Telephone | 703-403-2750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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