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General NPI Number Information
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NPI Number | 1053898312
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Entity Type | Individual
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Provider Name | JOHN ANTHONY VELEZ RN
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Gender | Male
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Dates
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Enumeration Date | 07/19/2018
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 2102 W TEEGE AVE
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City | HARLINGEN
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State | TX
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Zip | 78550-4667
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Country | US
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Telephone | 956-412-3337
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 STONEBRIAR RD
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City | HARLINGEN
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State | TX
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Zip | 78552-2705
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Country | US
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Telephone | 956-264-0728
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 664025
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License Number State | TX
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