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General NPI Number Information
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NPI Number | 1619826617
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Entity Type | Individual
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Provider Name | ERICK VELEZ
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Gender | Male
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 702 3RD AVE
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City | KINGSTON
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State | PA
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Zip | 18704-5845
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Country | US
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Telephone | 570-283-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 34 KULP AVE
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City | WILKES BARRE
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State | PA
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Zip | 18702-2612
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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