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General NPI Number Information
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NPI Number | 1770354284
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Entity Type | Individual
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Provider Name | VERONICA DEL MAR VAZQUEZ MIRABAL SLP
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Gender | Female
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Dates
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Enumeration Date | 01/12/2024
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Last Update Date | 01/21/2024
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Provider Practice Location Address
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Address Line | CALLE ATENAS 13011399
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-230-0001
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Fax |
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Provider Business Mailing Address
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Address Line | VILLAS DE CANEY CALLE 21 N3
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976-3528
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Country | US
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Telephone | 939-240-1950
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 4572
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License Number State | PR
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