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General NPI Number Information
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NPI Number | 1861547101
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Entity Type | Individual
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Provider Name | MELVIN JUAN VELAZQUEZ MUNOZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | HUMACAO MEDICAL PLAZA OFICINA 203 CALLE FONT MARTELO H53
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-365-1999
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Fax | 787-285-1970
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Provider Business Mailing Address
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Address Line | HUMACAO MEDICAL PLAZA OFICINA 203 CALLE FONT MARTELO H53
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-365-1999
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Fax | 787-285-1970
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 9849
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 9849
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License Number State | PR
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