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General NPI Number Information
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NPI Number | 1275340101
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Entity Type | Individual
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Provider Name | YOLY DEBBIE VELAZQUEZ SERRANO
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Gender | Female
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Dates
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Enumeration Date | 12/13/2024
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | CARR 152 KM 12.4 BO. CEDRO ARRIBA
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City | NARANJITO
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State | PR
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Zip | 00719
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Country | US
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Telephone | 787-474-1230
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 515
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City | NARANJITO
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State | PR
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Zip | 00719-0515
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Country | US
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Telephone | 787-474-1230
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 24200
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License Number State | PR
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