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General NPI Number Information
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NPI Number | 1760969851
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Entity Type | Individual
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Provider Name | CALEB I NIEVES VELEZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/06/2024
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Provider Practice Location Address
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Address Line | 10175 GATEWAY BLVD W STE 100
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City | EL PASO
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State | TX
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Zip | 79925-7618
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Country | US
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Telephone | 915-283-3953
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Fax |
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Provider Business Mailing Address
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Address Line | 5812 CYPRESS TRL
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City | JACKSON
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State | MS
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Zip | 39211-3512
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Country | US
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Telephone | 787-208-1141
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | T-5319
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License Number State | MS
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