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General NPI Number Information
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NPI Number | 1053824623
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Entity Type | Individual
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Provider Name | ANGEL VELASQUEZ
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Gender | Male
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Dates
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Enumeration Date | 11/06/2017
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2982 BAYONET CT
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City | MARINA
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State | CA
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Zip | 93933-4604
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Country | US
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Telephone | 831-883-5100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3222
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City | MONTEREY
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State | CA
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Zip | 93942-3222
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Country | US
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Telephone | 831-883-5100
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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