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General NPI Number Information
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NPI Number | 1174813174
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Entity Type | Organization
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Legal Business Name | VELOCITY NEURO CARE, LLC
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 110 16TH ST STE 1460
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City | DENVER
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State | CO
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Zip | 80202-5202
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Country | US
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Telephone | 734-245-9892
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 713595 CNM-VELOCITY
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City | CHICAGO
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State | IL
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Zip | 60677-4410
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Country | US
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Telephone | 734-245-9892
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Fax | 719-487-2689
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Authorized Official
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Title or Position | ENTITY OWNER
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Name | ANDREW BENJAMIN HARRIS
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Credential | CNIM
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Telephone | 719-338-6715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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