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General NPI Number Information
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NPI Number | 1164819512
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Entity Type | Individual
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Provider Name | MISS NAMYR VELEZ OLIVERAS
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Gender | Female
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 55 CALLE PALMA
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City | ARECIBO
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State | PR
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Zip | 00612-4526
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Country | US
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Telephone | 484-560-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 22 S GREENE ST, DEPT OF RADIOLOGY
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City | BALTIMORE
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State | MD
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Zip | 21201-1544
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Country | US
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Telephone | 410-328-3477
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MT212048
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0088728
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 022278
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License Number State | PR
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