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General NPI Number Information
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NPI Number | 1386155018
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Entity Type | Individual
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Provider Name | VELGAN M RODRIGUEZ KATA DNP
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Gender | Female
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Dates
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Enumeration Date | 10/20/2017
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 4515 FALLS OF NEUSE RD
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City | RALEIGH
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State | NC
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Zip | 27609-6290
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Country | US
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Telephone | 919-238-6760
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Fax | 919-238-6760
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Provider Business Mailing Address
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Address Line | 4515 FALLS OF NEUSE RD
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City | RALEIGH
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State | NC
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Zip | 27609-6290
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Country | US
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Telephone | 888-879-9786
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 674688
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 269427
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5017022
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License Number State | NC
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