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General NPI Number Information
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NPI Number | 1508457367
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Entity Type | Individual
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Provider Name | IRMA VELASCO PMHNP-BC, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2021
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 1891 EFFIE ST
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City | LOS ANGELES
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State | CA
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Zip | 90026-1711
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Country | US
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Telephone | 323-644-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 6933 SANTA MONICA BLVD APT 307
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City | LOS ANGELES
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State | CA
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Zip | 90038-1193
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Country | US
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Telephone | 956-451-6113
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1015581
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1015581
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License Number State | TX
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Taxonomy #3
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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 | 95028418
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95028418
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License Number State | CA
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