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General NPI Number Information
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NPI Number | 1518773936
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Entity Type | Individual
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Provider Name | YAMILE MULET VELAZQUEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 2407 US HIGHWAY 98 N
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City | LAKELAND
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State | FL
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Zip | 33805-2410
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Country | US
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Telephone | 407-930-1112
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Fax | 877-671-1402
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Provider Business Mailing Address
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Address Line | 1551 CORDGRASS WAY
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City | LAKELAND
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State | FL
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Zip | 33813-2715
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Country | US
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Telephone | 561-502-7692
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 11036740
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License Number State | FL
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