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General NPI Number Information
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NPI Number | 1437574936
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Entity Type | Individual
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Provider Name | DIANA MIRANDA VELEZ M.S.W
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Gender | Female
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 02/20/2014
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Provider Practice Location Address
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Address Line | E 18 CALLE NOGALES URB ESTANCIAS DEL BOSQUE
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City | CIDRA
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State | PR
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Zip | 00739
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Country | US
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Telephone | 787-533-7652
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Fax |
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Provider Business Mailing Address
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Address Line | 384 CALLE NOGALES URB. ESTANCIAS DEL BOSQUE
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City | CIDRA
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State | PR
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Zip | 00739
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Country | US
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Telephone | 787-533-7652
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 9914
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License Number State | PR
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