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General NPI Number Information
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NPI Number | 1659002186
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Entity Type | Individual
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Provider Name | YESLINEL VELEZ FADUL MD
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Gender | Female
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Dates
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Enumeration Date | 06/24/2022
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 501 OLDE WATERFORD WAY
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City | LELAND
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State | NC
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Zip | 28451-4117
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Country | US
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Telephone | 910-408-1130
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Fax |
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Provider Business Mailing Address
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Address Line | 943 NICKLAUS RD
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City | SOUTHPORT
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State | NC
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Zip | 28461-9334
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Country | US
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Telephone | 787-430-4441
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2025-02545
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License Number State | NC
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