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General NPI Number Information
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NPI Number | 1912747791
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Entity Type | Individual
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Provider Name | PATRICA VELAZQUEZ
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Gender | Female
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | AVENIDA FELISA RINCON DE GAUTIER 300
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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 | 787-793-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 5B GA 31 RIO GRANDE STATE V
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City | RIO GRANDE
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State | PR
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Zip | 00745
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Country | US
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Telephone | 787-454-4278
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7339
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License Number State | PR
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