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General NPI Number Information
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NPI Number | 1720709926
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Entity Type | Organization
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Legal Business Name | JEREMY J. VELA, D.D.S., P.L.L.C.
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 8800 KATY FWY STE 280
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City | HOUSTON
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State | TX
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Zip | 77024-1645
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Country | US
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Telephone | 713-365-9904
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Fax |
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Provider Business Mailing Address
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Address Line | 8800 KATY FWY STE 280
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City | HOUSTON
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State | TX
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Zip | 77024-1645
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Country | US
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Telephone | 713-365-9904
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. JEREMY J VELA
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Credential | DDS
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Telephone | 361-877-3997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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