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General NPI Number Information
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NPI Number | 1265345243
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Entity Type | Individual
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Provider Name | VANESSA RENEE VASQUEZ
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Gender | Female
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 2985 DREW ST
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City | CLEARWATER
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State | FL
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Zip | 33759-3012
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Country | US
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Telephone | 727-687-6272
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 WEDGEWOOD WAY
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-9238
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9165791
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License Number State | FL
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