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General NPI Number Information
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NPI Number | 1982806758
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Entity Type | Individual
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Provider Name | VEENA KOLLI PMHNP, APRN- CNP
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Gender | Female
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 08/30/2024
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Provider Practice Location Address
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Address Line | 1145 W I 240 SERVICE RD STE F100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-2134
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Country | US
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Telephone | 239-410-0332
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Fax | 319-272-2107
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Provider Business Mailing Address
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Address Line | 1145 W I 240 SERVICE RD STE F100
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139-2134
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Country | US
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Telephone | 405-259-2233
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 2024005252
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License Number State | OK
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