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General NPI Number Information
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NPI Number | 1679324743
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Entity Type | Individual
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Provider Name | CAROL M VAZQUEZ
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Gender | Female
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | CARR 815 KM 1 HM 7 SECTOR LOMA DEL VIENTO
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City | NARANJITO
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State | PR
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Zip | 00719-7508
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Country | US
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Telephone | 939-289-8347
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Fax |
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Provider Business Mailing Address
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Address Line | HC 74 BOX 6052
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City | NARANJITO
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State | PR
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Zip | 00719-7508
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Country | US
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Telephone | 939-289-8347
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State | PR
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