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General NPI Number Information
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NPI Number | 1215347760
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Entity Type | Individual
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Provider Name | ANGELA KAY VELK DDS
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Gender | Female
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 32475 CLINTON KEITH RD STE 115
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City | WILDOMAR
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State | CA
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Zip | 92595-8664
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Country | US
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Telephone | 951-609-0445
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Fax | 951-609-1338
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Provider Business Mailing Address
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Address Line | 32475 CLINTON KEITH RD STE 115
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City | WILDOMAR
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State | CA
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Zip | 92595-8664
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Country | US
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Telephone | 951-609-0445
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Fax | 951-609-1338
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 44376
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License Number State | CA
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