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NPI 1902792492

NPI 1902792492 : VERONICA EVELYN VELEZ LMSW : FORT MILL, SC

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General NPI Number Information
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    NPI Number           |    1902792492
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    Entity Type          |    Individual 
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    Provider Name        |    VERONICA EVELYN VELEZ LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/13/2025
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    Last Update Date     |    06/13/2025
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Provider Practice Location Address
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    Address Line         |    1188 STONECREST BLVD STE 110 
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    City                 |    FORT MILL
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    State                |    SC
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    Zip                  |    29708-6633
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    Country              |    US
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    Telephone            |    803-616-3171
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    Fax                  |    803-310-5183
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Provider Business Mailing Address
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    Address Line         |    1188 STONECREST BLVD STE 110 
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    City                 |    FORT MILL
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    State                |    SC
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    Zip                  |    29708-6633
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    Country              |    US
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    Telephone            |    803-616-3171
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    Fax                  |    803-310-5183
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    17500
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    License Number State |    SC
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