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General NPI Number Information
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NPI Number | 1548535735
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Entity Type | Individual
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Provider Name | PETER ARMENIO VASQUEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 27155 CHERRY HILL ROAD
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127
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Country | US
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Telephone | 313-749-1178
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 746723
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City | ATLANTA
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State | GA
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Zip | 30374-6723
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Country | US
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Telephone | 312-733-9730
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 272840
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101260465
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301507370
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License Number State | MI
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