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General NPI Number Information
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NPI Number | 1972952430
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Entity Type | Individual
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Provider Name | LORI VESELOVEC LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 11/24/2023
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Provider Practice Location Address
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Address Line | 8160 DREAM ST STE C
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City | FLORENCE
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State | KY
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Zip | 41042-7528
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Country | US
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Telephone | 203-858-2174
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Fax |
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Provider Business Mailing Address
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Address Line | 2055 HOLDERNESS DR
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City | UNION
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State | KY
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Zip | 41091-8287
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Country | US
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Telephone | 859-384-4575
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6305
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34007254A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 252432
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License Number State | KY
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