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General NPI Number Information
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NPI Number | 1437540697
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Entity Type | Organization
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Legal Business Name | VELEZ ORTHODONTICS, INC.
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Dates
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Enumeration Date | 02/10/2015
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | RD 2 #1845 BAYAMON MEDICAL PLAZA SUITE 801
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-786-0025
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Fax | 787-786-0060
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Provider Business Mailing Address
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Address Line | PO BOX 1468
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City | BAYAMON
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State | PR
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Zip | 00960-1468
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Country | US
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Telephone | 787-786-0025
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Fax | 787-786-0060
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HERNAN JAVIER VELEZ
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Credential | D.M.D.
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Telephone | 787-786-0025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 888
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License Number State | PR
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