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General NPI Number Information
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NPI Number | 1669503744
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Entity Type | Organization
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Legal Business Name | CYNTHIA T. VAZQUEZ
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 07/05/2024
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Provider Practice Location Address
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Address Line | 1817 CORPUS CHRISTI ST
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City | LAREDO
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State | TX
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Zip | 78043-3306
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Country | US
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Telephone | 956-722-9311
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Fax | 956-723-8616
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Provider Business Mailing Address
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Address Line | 1817 CORPUS CHRISTI ST
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City | LAREDO
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State | TX
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Zip | 78043-3306
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Country | US
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Telephone | 956-722-9311
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Fax | 956-723-8616
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CYNTHIA TREVINO VAZQUEZ
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Credential | RN
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Telephone | 956-722-9311
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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 | 008323
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License Number State | TX
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