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General NPI Number Information
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NPI Number | 1558565390
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Entity Type | Individual
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Provider Name | KAREEN A VELEZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1730 MAYO DR
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City | TAVARES
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State | FL
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Zip | 32778-4308
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Country | US
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Telephone | 352-525-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 2734 DORA AVE
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City | TAVARES
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State | FL
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Zip | 32778-4970
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Country | US
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Telephone | 352-705-0111
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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 | 2081P0004X
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Taxonomy Name | Spinal Cord Injury Medicine Physician
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License Number | ME151893
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME151893
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License Number State | FL
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