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General NPI Number Information
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NPI Number | 1457729881
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Entity Type | Individual
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Provider Name | JENNIFER ROSE VASQUEZ DNP
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Gender | Female
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 5250 WEBER RD STE A3
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4580
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Country | US
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Telephone | 361-314-8319
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Fax |
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Provider Business Mailing Address
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Address Line | 5250 WEBER RD STE A3
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4580
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Country | US
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Telephone | 361-314-8319
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Fax | 361-201-0030
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP128927
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License Number State | TX
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