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General NPI Number Information
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NPI Number | 1972707248
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Entity Type | Individual
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Provider Name | IVONNE VELEZ ACEVEDO M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 03/27/2013
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Provider Practice Location Address
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Address Line | 116-2 CALLE 74
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City | CAROLINA
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State | PR
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Zip | 00985-4117
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Country | US
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Telephone | 787-762-6532
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Fax |
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Provider Business Mailing Address
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Address Line | CORRIENTES CO-40 CALLE RIO GRANDE
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-6194
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Country | US
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Telephone | 787-200-6884
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 52396
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 18451
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 11443
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License Number State | PR
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