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General NPI Number Information
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NPI Number | 1700983269
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Entity Type | Individual
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Provider Name | MARIA DEL ROSARIO VASQUEZ OTR
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Gender | Female
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 5912 N BROADWAY ST
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City | MCALLEN
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State | TX
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Zip | 78504-4414
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Country | US
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Telephone | 956-212-2501
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Fax |
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Provider Business Mailing Address
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Address Line | 5912 N BROADWAY ST
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City | MCALLEN
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State | TX
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Zip | 78504-4414
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Country | US
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Telephone | 956-212-2501
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 209404
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 115763
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License Number State | TX
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