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General NPI Number Information
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NPI Number | 1871872127
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Entity Type | Individual
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Provider Name | TINA ANN VELA NP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2011
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Last Update Date | 09/13/2020
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Provider Practice Location Address
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Address Line | 9900 BREN RD E
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City | MINNETONKA
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State | MN
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Zip | 55343-9664
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Country | US
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Telephone | 210-259-5233
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Fax |
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Provider Business Mailing Address
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Address Line | 15203 TAMARON VLY
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City | SAN ANTONIO
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State | TX
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Zip | 78253-5421
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Country | US
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Telephone | 210-259-5233
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Fax |
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 620665
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License Number State | TX
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