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General NPI Number Information
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NPI Number | 1962113001
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Entity Type | Individual
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Provider Name | ZULEIKA VELAZQUEZ ORTIZ PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 12/09/2022
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Provider Practice Location Address
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Address Line | CARR 172 KM 18.9 CERTENEJAS
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City | CIDRA
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State | PR
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Zip | 00739
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Country | US
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Telephone | 787-739-3881
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Fax | 787-739-7666
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Provider Business Mailing Address
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Address Line | RR 1 BOX 2310
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City | CIDRA
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State | PR
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Zip | 00739-9844
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Country | US
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Telephone | 787-201-8966
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 7091
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License Number State | PR
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