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General NPI Number Information
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NPI Number | 1356872113
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Entity Type | Individual
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Provider Name | RAUL RICARDO BERMUDEZ-VELEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 1611 NW 12 AVENNUE
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-585-6970
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 255
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City | ANGELES
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State | PR
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Zip | 00611-0255
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME150599
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License Number State | FL
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