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General NPI Number Information
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NPI Number | 1457861643
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Entity Type | Individual
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Provider Name | NAHIR VELAZQUEZ
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Gender | Female
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 9290 SW HAMMOCKS BLVD, SUITE 401
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City | MIAMI
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State | FL
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Zip | 33196
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Country | US
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Telephone | 786-558-5694
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Fax |
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Provider Business Mailing Address
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Address Line | 3909 SANTA ELENA LN
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City | KISSIMMEE
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State | FL
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Zip | 34744
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Country | US
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Telephone | 407-802-9151
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SI3373
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License Number State | FL
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