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General NPI Number Information
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NPI Number | 1376837831
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Entity Type | Organization
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Legal Business Name | ADVANCED INSTITUTE FOR WOMEN'S HEALTH, P.A.
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Dates
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Enumeration Date | 06/01/2011
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | 4151 JAIME ZAPATA MEMORIAL HWY SUITE 101C
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City | LAREDO
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State | TX
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Zip | 78043-4725
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Country | US
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Telephone | 956-489-2572
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Fax |
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Provider Business Mailing Address
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Address Line | 4151 JAIME ZAPATA MEMORIAL HWY SUITE 101C
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City | LAREDO
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State | TX
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Zip | 78043-4725
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Country | US
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Telephone | 956-489-2572
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. JOSE ORLANDO VAZQUEZ VICENTE
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Credential | DO
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Telephone | 956-489-2572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | M3413
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License Number State | TX
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