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General NPI Number Information
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NPI Number | 1215850425
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Entity Type | Individual
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Provider Name | JEYSAMAR VELEZ SANTIAGO DC
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Gender | Female
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 13670 BOGGY CREEK RD STE 100
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City | ORLANDO
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State | FL
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Zip | 32824-9235
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Country | US
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Telephone | 407-729-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 353 WINDY WILLOW WAY
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City | SAINT CLOUD
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State | FL
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Zip | 34771-8157
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Country | US
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Telephone | 407-729-3191
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH16058
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License Number State | FL
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