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General NPI Number Information
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NPI Number | 1093535890
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Entity Type | Individual
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Provider Name | REBECCA LEAH VASQUEZ
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 203 MAIN ST
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City | OSSINING
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State | NY
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Zip | 10562-4750
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Country | US
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Telephone | 914-923-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 772 ELM ST
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City | PEEKSKILL
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State | NY
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Zip | 10566-3305
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Country | US
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Telephone | 914-943-6821
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 006478
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License Number State | NY
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