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General NPI Number Information
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NPI Number | 1053381202
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Entity Type | Individual
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Provider Name | GARY A VELA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 730 NW 107TH AVE STE 115
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City | MIAMI
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State | FL
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Zip | 33172-3104
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Country | US
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Telephone | 786-607-8979
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Fax | 305-489-8232
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Provider Business Mailing Address
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Address Line | 1080 BRICKELL AVE UNIT 4100
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City | MIAMI
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State | FL
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Zip | 33131-3995
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Country | US
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Telephone | 437-660-2934
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | D 00 63900
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | ME145984
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License Number State | FL
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