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General NPI Number Information
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NPI Number | 1053161414
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Entity Type | Individual
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Provider Name | RHIANNON VAZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1301 ROUTE 72 W STE 300
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City | MANAHAWKIN
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State | NJ
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Zip | 08050-2483
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Country | US
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Telephone | 609-597-6513
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Fax | 609-597-4593
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Provider Business Mailing Address
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Address Line | 871 RALEIGH DR
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City | TOMS RIVER
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State | NJ
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Zip | 08753-5610
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Country | US
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Telephone | 732-703-8836
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00867800
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License Number State | NJ
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