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General NPI Number Information
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NPI Number | 1003007519
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Entity Type | Organization
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Legal Business Name | LAWRENCE VASQUEZ MERCY MEDICAL CARE
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Dates
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Enumeration Date | 08/08/2007
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Last Update Date | 02/13/2008
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Provider Practice Location Address
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Address Line | 1 S BROADWAY SUITE 305
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City | EDMOND
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State | OK
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Zip | 73034-3799
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Country | US
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Telephone | 405-513-8727
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Fax | 405-513-8728
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Provider Business Mailing Address
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Address Line | 1 S BROADWAY SUITE 305
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City | EDMOND
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State | OK
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Zip | 73034-3799
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Country | US
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Telephone | 405-513-8727
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Fax | 405-513-8728
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | LAWRENCE VASQUEZ
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Credential |
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Telephone | 405-514-4366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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