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General NPI Number Information
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NPI Number | 1346303880
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Entity Type | Individual
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Provider Name | LAWRENCE F SALAMONE VELILLA MD
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 05/08/2018
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Provider Practice Location Address
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Address Line | 735 PONCE DE LEON SUITE 211 TORRE DE AUXILIO MUTUO
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City | SAN JUAN
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State | PR
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Zip | 00917
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Country | US
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Telephone | 787-753-6170
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Fax | 787-751-5653
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Provider Business Mailing Address
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Address Line | CALLE #1 C12 VILLAS DEL PILAR
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-720-1960
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Fax | 787-751-5653
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 7158
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License Number State | PR
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