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General NPI Number Information
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NPI Number | 1053561027
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Entity Type | Individual
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Provider Name | VICTOR A FELIZ
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Gender | Male
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | M-18 CALLE 6 URB BRAZILIA
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-479-5516
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Fax |
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Provider Business Mailing Address
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Address Line | AN19 CALLE RIO LA PLATA RIO HONDO
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City | BAYAMON
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State | PR
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Zip | 00961-3244
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Country | US
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Telephone | 787-479-5516
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State | PR
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