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General NPI Number Information
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NPI Number | 1215918420
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Entity Type | Individual
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Provider Name | JESSE ROMEU-VELEZ MD
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Gender | Male
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Dates
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Enumeration Date | 11/07/2005
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Last Update Date | 11/06/2012
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Provider Practice Location Address
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Address Line | 500 E CENTRAL AVE
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3053
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Country | US
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Telephone | 863-293-1191
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Fax |
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Provider Business Mailing Address
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Address Line | 500 E CENTRAL AVE
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City | WINTER HAVEN
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State | FL
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Zip | 33880-3053
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Country | US
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Telephone | 863-293-1191
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 10210
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME114215
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License Number State | FL
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