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General NPI Number Information
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NPI Number | 1235619107
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Entity Type | Individual
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Provider Name | ISA VAZQUEZ ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 1930 NE 47TH ST STE 300
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-7729
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Country | US
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Telephone | 954-493-5393
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Fax |
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Provider Business Mailing Address
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Address Line | 11350 MCCORMICK RD EXECUTIVE PLAZA 1, STE. 501
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City | HUNT VALLEY
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State | MD
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Zip | 21031-2358
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Country | US
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Telephone | 703-914-8000
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9370209
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License Number State | FL
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