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General NPI Number Information
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NPI Number | 1972182533
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Entity Type | Individual
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Provider Name | MICHAEL R VELEZ MD, MTM
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Gender | Male
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 16521 RIVER RD
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City | CHESTERFIELD
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State | VA
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Zip | 23838-1638
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Country | US
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Telephone | 804-337-9820
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Fax | 804-220-1690
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Provider Business Mailing Address
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Address Line | 16521 RIVER RD
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City | CHESTERFIELD
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State | VA
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Zip | 23838-1638
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Country | US
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Telephone | 305-699-2551
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Fax | 804-220-1690
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME167122
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | D0101859
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | A193111
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 0101281685
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License Number State | VA
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