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General NPI Number Information
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NPI Number | 1942485446
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Entity Type | Individual
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Provider Name | CESAR JONAS S VELOSO
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Gender | Male
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/11/2008
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Provider Practice Location Address
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Address Line | 700 WC NURSING HOME RD
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City | DRESDEN
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State | TN
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Zip | 38225-1818
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Country | US
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Telephone | 731-364-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 700 WC NURSING HOME RD
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City | DRESDEN
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State | TN
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Zip | 38225-1818
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070016094
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7733
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J1-0002183
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License Number State | DE
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