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General NPI Number Information
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NPI Number | 1023226560
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Entity Type | Organization
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Legal Business Name | DANIEL A. VASQUEZ, D.D.S.,P.C.
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 182 ROCKINGHAM ROAD
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City | LONDONDERRY
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State | NH
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Zip | 03053-2165
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Country | US
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Telephone | 603-437-8204
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Fax | 603-623-6564
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Provider Business Mailing Address
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Address Line | 182 ROCKINGHAM RD
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City | LONDONDERRY
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State | NH
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Zip | 03053-2165
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Country | US
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Telephone | 603-437-8204
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Fax | 603-623-6564
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL ABAD VASQUEZ
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Credential | D.D.S.,P.C.
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Telephone | 603-437-8204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3048
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License Number State | NH
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