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General NPI Number Information
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NPI Number | 1235197716
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Entity Type | Individual
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Provider Name | JOSE G VELIZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 255 N ELM ST STE 101
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City | ESCONDIDO
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State | CA
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Zip | 92025-3431
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Country | US
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Telephone | 760-489-1876
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Fax | 760-871-0880
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Provider Business Mailing Address
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Address Line | 970 W VALLEY PKWY STE 401
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City | ESCONDIDO
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State | CA
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Zip | 92025-2554
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Country | US
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Telephone | 760-489-1876
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Fax | 760-871-0880
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | G71193
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License Number State | CA
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