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General NPI Number Information
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NPI Number | 1093996530
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Entity Type | Individual
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Provider Name | KATHY VASQUEZ BC-HIS
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Gender | Female
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Dates
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Enumeration Date | 11/26/2007
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Last Update Date | 04/14/2009
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Provider Practice Location Address
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Address Line | 1001 E LATHAM
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City | HEMET
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State | CA
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Zip | 92543
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Country | US
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Telephone | 951-925-9948
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Fax |
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Provider Business Mailing Address
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Address Line | 10570 SE WASHINGTON ST SUITE 202
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City | PORTLAND
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State | OR
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Zip | 97216
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Country | US
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Telephone | 503-257-6800
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Fax | 503-257-6810
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 3397
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA 3397
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License Number State | CA
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