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General NPI Number Information
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NPI Number | 1255649000
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Entity Type | Individual
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Provider Name | MS. SANDEE S VASQUEZ
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Gender | Female
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 3651 RICHMOND ROAD
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City | STATEN ISLAND
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State | NY
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Zip | 10306
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Country | US
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Telephone | 718-351-6398
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Fax |
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Provider Business Mailing Address
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Address Line | 21 INFIELD LANE
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City | ABERDEEN
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State | NJ
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Zip | 07747
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Country | US
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Telephone | 732-970-4825
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 012452-1
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License Number State | NY
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