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General NPI Number Information
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NPI Number | 1124985593
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Entity Type | Individual
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Provider Name | CARLOS ANDRES VELASCO
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Gender | Male
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2121 E HARMONY RD UNIT 310
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City | FORT COLLINS
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State | CO
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Zip | 80528-3403
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Country | US
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Telephone | 864-438-9641
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Fax |
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Provider Business Mailing Address
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Address Line | 2639 PADDINGTON RD
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City | FORT COLLINS
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State | CO
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Zip | 80525-5693
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Country | US
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Telephone | 864-438-9641
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.1001484-NP
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License Number State | CO
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