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General NPI Number Information
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NPI Number | 1396835377
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Entity Type | Individual
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Provider Name | ALMANZAR PEREZ VASQUEZ MD
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | AV RAMEY #20
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City | SAN ANTONIO
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State | PR
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Zip | 00690
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Country | US
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Telephone | 787-890-0475
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4444
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City | AGUADILLA
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State | PR
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Zip | 00605
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Country | US
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Telephone | 787-890-0475
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 7136
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License Number State | PR
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