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General NPI Number Information
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NPI Number | 1629224670
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Entity Type | Individual
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Provider Name | JULIO JOSE ANDINO-VELEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/11/2008
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 3140 HORIZON RD STE 105
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City | ROCKWALL
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State | TX
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Zip | 75032-7820
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Country | US
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Telephone | 469-443-0742
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Fax | 469-443-0501
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Provider Business Mailing Address
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Address Line | PO BOX 1067
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City | ROWLETT
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State | TX
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Zip | 75030-1067
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Country | US
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Telephone | 469-443-0742
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Fax | 469-443-0501
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | BP20044990
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License Number State | TX
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