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General NPI Number Information
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NPI Number | 1528180205
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Entity Type | Organization
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Legal Business Name | VOLTAIRE S VELARDE MD INC
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 1460 N CAMINO ALTO SUITE 209
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City | VALLEJO
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State | CA
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Zip | 94589-2567
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Country | US
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Telephone | 707-552-7421
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Fax |
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Provider Business Mailing Address
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Address Line | 1460 N CAMINO ALTO SUITE 209
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City | VALLEJO
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State | CA
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Zip | 94589-2567
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Country | US
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Telephone | 707-552-7421
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. VOLTAIRE SALANGA VELARDE
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Credential | MD
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Telephone | 707-552-7421
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 00A495690
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License Number State | CA
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