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General NPI Number Information
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NPI Number | 1144647421
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Entity Type | Individual
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Provider Name | ANA I VELAZQUEZ MANANA MD MSC
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Gender | Female
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 10/21/2022
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Provider Practice Location Address
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Address Line | 995 POTRERO AVE BUILDING 80, 6TH FLOOR, WARD 86
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City | SAN FRANCISCO
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State | CA
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Zip | 94110
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Country | US
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Telephone | 628-206-2406
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Fax |
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Provider Business Mailing Address
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Address Line | 995 POTRERO AVE BUILDING 80, 4TH FLOOR
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City | SAN FRANCISCO
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State | CA
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Zip | 94110
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Country | US
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Telephone |
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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 | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A154830
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License Number State | CA
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