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General NPI Number Information
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NPI Number | 1548814916
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Entity Type | Individual
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Provider Name | BASILISA S VELA FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 218 BALTIC AVE
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City | EDINBURG
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State | TX
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Zip | 78539-7773
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Country | US
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Telephone | 956-316-2533
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Fax | 737-932-6485
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Provider Business Mailing Address
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Address Line | 1908 N LAURENT ST STE 250
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City | VICTORIA
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State | TX
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Zip | 77901-5417
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Country | US
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Telephone | 361-676-6206
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Fax | 737-932-6485
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142420
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License Number State | TX
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