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General NPI Number Information
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NPI Number | 1760816250
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Entity Type | Individual
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Provider Name | MARITZA H OCASIO VAZQUEZ MSW
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Gender | Female
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | CALLE CUBA LIBRE A-1 MUCARABONES
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City | TOA ALTA
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State | PR
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Zip | 00963-0000
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Country | US
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Telephone | 872-467-0644
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Fax |
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Provider Business Mailing Address
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Address Line | 4R31 CALLE ROBLE URB LOMAS VERDES
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City | BAYAMON
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State | PR
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Zip | 00956
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Country | US
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Telephone | 787-460-6432
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 11785
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License Number State | PR
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