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General NPI Number Information
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NPI Number | 1477903987
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Entity Type | Individual
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Provider Name | NATHALIA VELASQUEZ M.D
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Gender | Female
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 39400 PASEO PADRE PKWY
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City | FREMONT
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State | CA
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Zip | 94538-2310
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Country | US
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Telephone | 510-248-3085
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Fax | 954-659-5787
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Provider Business Mailing Address
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Address Line | 39400 PASEO PADRE PKWY
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City | FREMONT
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State | CA
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Zip | 94538-2310
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Country | US
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Telephone | 510-675-4241
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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 | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | A192748
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 87520
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License Number State | GA
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