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General NPI Number Information
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NPI Number | 1891731675
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Entity Type | Individual
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Provider Name | AITSA JIMENEZ VELEZ MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2006
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Last Update Date | 05/03/2022
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Provider Practice Location Address
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Address Line | 100 AVE LUIS MUNOZ MARIN
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City | CAGUAS
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State | PR
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Zip | 00725-6184
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Country | US
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Telephone | 787-744-8686
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Fax | 787-258-1258
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Provider Business Mailing Address
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Address Line | RR 4 BOX 699
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City | BAYAMON
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State | PR
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Zip | 00956-9636
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Country | US
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Telephone | 787-764-3553
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Fax | 787-754-0155
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 11852
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License Number State | PR
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