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General NPI Number Information
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NPI Number | 1699643726
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Entity Type | Individual
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Provider Name | MELISSA VELAZQUEZ APRN
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Gender | Female
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 132 OLD RIVER RD STE 108
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City | LINCOLN
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State | RI
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Zip | 02865-1397
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Country | US
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Telephone | 401-723-9250
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Fax |
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Provider Business Mailing Address
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Address Line | 25 LOCKWOOD ST
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City | WEST WARWICK
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State | RI
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Zip | 02893-2108
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Country | US
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Telephone | 774-526-8312
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | APRN04590
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | APRN04590
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN04590
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License Number State | RI
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN04590
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License Number State | RI
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Taxonomy #5
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN04590
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License Number State | RI
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