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General NPI Number Information
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NPI Number | 1477553220
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Entity Type | Individual
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Provider Name | YANIRA VAZQUEZ R.PH.
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Gender | Female
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 36000 DARNALL LOOP DARNALL ARMY COMMUNITY HOSPITAL, PHARMACY DEPT.
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City | FORT HOOD
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State | TX
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Zip | 76544-5095
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Country | US
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Telephone | 254-286-7710
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Fax | 254-286-7171
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Provider Business Mailing Address
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Address Line | 2906 BLACKBURN DR
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City | KILLEEN
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State | TX
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Zip | 76543-2696
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Country | US
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Telephone | 254-699-6949
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Fax | 254-699-6949
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 4257
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License Number State | PR
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