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General NPI Number Information
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NPI Number | 1114063831
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Entity Type | Organization
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Legal Business Name | VASQUEZ OPTICAL AND HEARING
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 5138 GEARY BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-2816
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Country | US
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Telephone | 415-824-6865
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Fax | 415-625-9766
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Provider Business Mailing Address
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Address Line | 5138 GEARY BLVD
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-2816
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Country | US
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Telephone | 415-742-4440
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Fax | 415-742-4185
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Authorized Official
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Title or Position | CEO
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Name | MR. MICHAEL ANTHONY MARTINEZ
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Credential | HEARING AID DISPENSE
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Telephone | 415-742-4440
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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 | HA1042
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License Number State | CA
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