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General NPI Number Information
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NPI Number | 1770689028
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Entity Type | Organization
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Legal Business Name | JOSE G VELIZ M.D. INC.
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12630 MONTE VISTA RD #210
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City | POWAY
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State | CA
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Zip | 92064-2530
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Country | US
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Telephone | 760-489-1876
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Fax | 760-871-0880
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Provider Business Mailing Address
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Address Line | 970 W VALLEY PKWY # 401
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City | ESCONDIDO
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State | CA
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Zip | 92025-2554
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Country | US
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Telephone | 760-489-1876
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Fax | 760-871-0880
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSE G VELIZ
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Credential | M.D.
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Telephone | 760-489-1876
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G71193
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License Number State | CA
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