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General NPI Number Information
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NPI Number | 1437111820
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Entity Type | Individual
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Provider Name | FREDDIE ELIU VELAZQUEZ-FELICIANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | #5 DUFRESNE ST.
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City | HUMACAO
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State | PR
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Zip | 00792
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Country | US
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Telephone | 787-656-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 114 JENGIBRE ST. CIUDAD JARDIN GURABO
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-447-4336
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Fax | 787-712-9689
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 13140
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License Number State | PR
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