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General NPI Number Information
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NPI Number | 1396284980
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Entity Type | Individual
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Provider Name | INGRID PAMELA VAZQUEZ-UREN
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Gender | Female
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 900 N CUYAMACA ST STE 110
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City | EL CAJON
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State | CA
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Zip | 92020-1865
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Country | US
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Telephone | 619-448-0420
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Fax | 619-448-0131
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Provider Business Mailing Address
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Address Line | 900 N CUYAMACA ST STE 110
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City | EL CAJON
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State | CA
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Zip | 92020-1865
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Country | US
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Telephone | 619-448-0420
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Fax | 619-448-0131
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 108332
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License Number State | CA
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