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General NPI Number Information
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NPI Number | 1689704488
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Entity Type | Individual
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Provider Name | YANISSA MORALES VELEZ MS-A
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 10/08/2009
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Provider Practice Location Address
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Address Line | 200 AVE. WINSTON CHURCHILL SUITE 301
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-759-7744
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Fax |
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Provider Business Mailing Address
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Address Line | 150 VISTA DE LOS FRAILES CARR 873 # 84
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City | GUAYNABO
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State | PR
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Zip | 00969
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Country | US
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Telephone | 787-453-6373
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 597
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License Number State | PR
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