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General NPI Number Information
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NPI Number | 1548376791
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Entity Type | Individual
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Provider Name | ROBERTO ALFILER VELASCO JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 6044 MARTIN LUTHER KING JR WAY S STE 104
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City | SEATTLE
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State | WA
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Zip | 98118-3179
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Country | US
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Telephone | 206-723-9853
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Fax | 206-723-0849
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Provider Business Mailing Address
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Address Line | 6044 MARTIN LUTHER KING JR WAY S STE 104
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City | SEATTLE
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State | WA
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Zip | 98118-3179
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Country | US
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Telephone | 206-723-9853
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Fax | 206-723-0849
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00022120
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License Number State | WA
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