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General NPI Number Information
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NPI Number | 1255505566
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Entity Type | Individual
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Provider Name | ARACELI VAZQUEZ NUTRITION AND VIDA MS, RD, LD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 1221 ABRAMS RD STE 210
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City | RICHARDSON
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State | TX
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Zip | 75081-5578
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Country | US
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Telephone | 972-664-0846
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Fax |
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Provider Business Mailing Address
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Address Line | 514 RAVEN DR
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City | MURPHY
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State | TX
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Zip | 75094-3907
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Country | US
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Telephone | 972-664-0846
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Fax | 972-744-0726
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT06710
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License Number State | TX
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