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General NPI Number Information
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NPI Number | 1306134168
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Entity Type | Individual
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Provider Name | EKIE G VAZQUEZ-MALDONADO M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2011
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | URB. REXVILLE C 11 CALLE 1
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-905-7383
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Fax | 787-905-7382
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Provider Business Mailing Address
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Address Line | 1506 AVE ASHFORD APT 102
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City | SAN JUAN
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State | PR
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Zip | 00911-1162
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Country | US
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Telephone | 787-905-7383
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Fax | 787-905-7382
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 20548
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License Number State | PR
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