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General NPI Number Information
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NPI Number | 1548170921
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Entity Type | Individual
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Provider Name | VICTOR MANUEL VELAZQUEZ MONTES CBHCM, MA, BA
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Gender | Male
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Dates
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Enumeration Date | 09/09/2026
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Last Update Date | 09/09/2026
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Provider Practice Location Address
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Address Line | 1924 DAIRY RD
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City | WEST MELBOURNE
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State | FL
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Zip | 32904-4046
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Country | US
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Telephone | 772-873-8811
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Fax | 772-873-8800
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Provider Business Mailing Address
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Address Line | 2300 WOODLAKE DR NE APT 202
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City | PALM BAY
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State | FL
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Zip | 32905-3233
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Country | US
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Telephone | 321-272-0800
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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