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General NPI Number Information
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NPI Number | 1003814252
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Entity Type | Individual
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Provider Name | ZULMA J VELAZQUEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 33 CALLE VICENTE DE LEON
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City | LAS PIEDRAS
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State | PR
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Zip | 00771-3318
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Country | US
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Telephone | 787-733-1337
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Fax | 787-733-1337
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Provider Business Mailing Address
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Address Line | PO BOX 242
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City | LAS PIEDRAS
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State | PR
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Zip | 00771-0242
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Country | US
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Telephone | 787-733-1337
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Fax | 787-733-1313
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 9118
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License Number State | PR
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