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General NPI Number Information
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NPI Number | 1497851794
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Entity Type | Organization
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Legal Business Name | HUMBERTO VELA JR.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 06/28/2016
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Provider Practice Location Address
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Address Line | 1001 CORPUS CHRISTI ST
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City | LAREDO
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State | TX
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Zip | 78040-5259
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Country | US
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Telephone | 956-717-1204
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Fax | 956-717-2604
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Provider Business Mailing Address
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Address Line | 1001 CORPUS CHRISTI ST
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City | LAREDO
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State | TX
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Zip | 78040-5259
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Country | US
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Telephone | 956-717-1204
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Fax | 956-717-2604
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Authorized Official
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Title or Position | DIRECTOR OF NURSING
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Name | MR. HUMBERTO VELA JR.
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Credential | RN
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Telephone | 956-717-1204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 010492
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License Number State | TX
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