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General NPI Number Information
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NPI Number | 1124162276
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Entity Type | Individual
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Provider Name | ALFREDO J VAZQUEZ DC
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Gender | Male
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 103 DAVIS RD STE A
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City | LEAGUE CITY
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State | TX
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Zip | 77573-2769
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Country | US
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Telephone | 832-647-0761
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Fax | 713-481-6229
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Provider Business Mailing Address
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Address Line | 2925 GULF FWY S STE B
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City | LEAGUE CITY
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State | TX
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Zip | 77573-6769
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Country | US
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Telephone | 832-647-0761
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Fax | 281-282-9711
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 10532
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | 10532
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10532
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License Number State | TX
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