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General NPI Number Information
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NPI Number | 1588557631
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Entity Type | Individual
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Provider Name | GLADYS VELEZ COLON
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Gender | Female
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | PO BOX 363669
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City | SAN JUAN
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State | PR
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Zip | 00936-3669
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Country | US
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Telephone | 787-444-3292
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Fax |
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Provider Business Mailing Address
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Address Line | 755 AVELINO VICENTE APT 3 755 AVELINO VICENTE APT 3
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City | SAN JUAN
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State | PR
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Zip | 00909
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Country | US
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Telephone | 787-485-8042
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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 | 2322
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License Number State | PR
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