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General NPI Number Information
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NPI Number | 1134338601
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Entity Type | Individual
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Provider Name | IVELSY VELEZ PH.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 867 AVE MUNOZ RIVERA STE B102
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City | SAN JUAN
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State | PR
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Zip | 00925-2109
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Country | US
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Telephone | 787-412-9580
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Fax |
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Provider Business Mailing Address
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Address Line | PATIOS SEVILLANOS 475 CARR 8860 APT 2353
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-5406
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Country | US
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Telephone | 787-412-9580
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2157
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License Number State | PR
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