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General NPI Number Information
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NPI Number | 1245328715
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Entity Type | Individual
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Provider Name | EMILIA VELAZQUEZ MSPT
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 12/10/2012
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Provider Practice Location Address
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Address Line | 21 KILMER DR BLDG. 2 SUITE D
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1571
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Country | US
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Telephone | 732-851-7607
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Fax | 732-851-7610
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Provider Business Mailing Address
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Address Line | 302 AUTUMN HILL DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-2043
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Country | US
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Telephone | 732-589-0550
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA00678300
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License Number State | NJ
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