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General NPI Number Information
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NPI Number | 1477533081
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Entity Type | Individual
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Provider Name | BRATISLAV M VELIMIROVIC MD
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Gender | Male
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 1400 GEORGE DIETER DR STE 100
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City | EL PASO
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State | TX
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Zip | 79936-7654
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Country | US
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Telephone | 915-247-3150
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Fax | 915-703-3745
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Provider Business Mailing Address
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Address Line | 1400 GEORGE DIETER DR STE 100
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City | EL PASO
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State | TX
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Zip | 79936-7654
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Country | US
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Telephone | 915-247-3150
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Fax | 915-703-3745
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 036113344
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2084V0102X
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Taxonomy Name | Vascular Neurology Physician
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License Number | P4000
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License Number State | TX
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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 | P4000
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | P4000
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License Number State | TX
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