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General NPI Number Information
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NPI Number | 1417693011
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Entity Type | Individual
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Provider Name | DAINELIS VELAZQUEZ APRN,FNP
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Gender | Female
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Dates
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Enumeration Date | 05/07/2022
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 2119 NW 24TH ST
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City | MIAMI
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State | FL
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Zip | 33142-8459
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Country | US
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Telephone | 786-602-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 2119 NW 24TH ST
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City | MIAMI
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State | FL
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Zip | 33142-8459
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Country | US
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Telephone | 786-602-8900
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11019428
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | APRN11019428
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License Number State | FL
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