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General NPI Number Information
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NPI Number | 1609087758
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Entity Type | Organization
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Legal Business Name | PRISCILLA VASQUEZ & JOE A. FLORES
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3034 S ALAMEDA ST
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City | CORPUS CHRISTI
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State | TX
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Zip | 78404-2601
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Country | US
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Telephone | 361-881-9922
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Fax | 361-881-9928
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Provider Business Mailing Address
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Address Line | PO BOX 8734
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City | CORPUS CHRISTI
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State | TX
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Zip | 78468-8734
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Country | US
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Telephone | 361-881-9922
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Fax | 361-881-9928
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. PRISCILLA VASQUEZ
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Credential | RN, BC
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Telephone | 361-881-9922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 007816
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License Number State | TX
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