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General NPI Number Information
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NPI Number | 1508928227
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Entity Type | Individual
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Provider Name | FELISA UEZU VELESRUBIO MD
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Gender | Female
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 01/23/2009
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Provider Practice Location Address
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Address Line | 614 E 4TH ST
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City | NATIONAL CITY
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State | CA
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Zip | 91950-1346
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Country | US
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Telephone | 619-869-1296
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Fax |
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Provider Business Mailing Address
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Address Line | 614 E 4TH ST
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City | NATIONAL CITY
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State | CA
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Zip | 91950-1346
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Country | US
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Telephone | 619-869-1296
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | A86758
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License Number State | CA
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