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General NPI Number Information
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NPI Number | 1730362633
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Entity Type | Organization
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Legal Business Name | VAZQUEZ MEDICAL TRANSPORT
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 12/15/2009
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Provider Practice Location Address
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Address Line | CALLE SAN JUAN D 53 URBANIZACION EXTENSION LA FE
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-260-0335
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 10947
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City | JUANA DIAZ
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State | PR
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Zip | 00795-9502
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Country | US
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Telephone | 787-260-0335
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. CARLOS A VAZQUEZ
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Credential |
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Telephone | 939-579-1885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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