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General NPI Number Information
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NPI Number | 1477744738
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Entity Type | Organization
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Legal Business Name | DANIEL VASQUEZ D.D.S. A P.C.
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 3601 VISTA WAY STE 105
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City | OCEANSIDE
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State | CA
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Zip | 92056-4559
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Country | US
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Telephone | 760-529-5339
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Fax | 760-231-5134
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Provider Business Mailing Address
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Address Line | 3601 VISTA WAY STE 105
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City | OCEANSIDE
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State | CA
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Zip | 92056-4559
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Country | US
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Telephone | 760-529-5339
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Fax | 760-231-5134
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL VASQUEZ
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Credential |
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Telephone | 760-529-5339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 42706
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License Number State | CA
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