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General NPI Number Information
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NPI Number | 1407381262
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Entity Type | Individual
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Provider Name | PHILIP ANDREW VELEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/28/2017
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 510 S KINGSHIGHWAY BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1016
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Country | US
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Telephone | 314-362-7111
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Fax |
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Provider Business Mailing Address
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Address Line | 7375 W 52ND AVE STE 210
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City | ARVADA
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State | CO
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Zip | 80002-3748
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Country | US
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Telephone | 915-588-2043
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | DR.0070718
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | DR.0070718
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License Number State | CO
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