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General NPI Number Information
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NPI Number | 1780870477
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Entity Type | Organization
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Legal Business Name | VASQUEZ & ASSOCIATES MENTAL HEALTH SERVICES
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 2901 BEE CAVE RD STE N
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City | AUSTIN
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State | TX
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Zip | 78746-5571
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Country | US
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Telephone | 512-329-8000
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Fax | 512-329-8299
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Provider Business Mailing Address
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Address Line | 2901 BEE CAVE RD STE N
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City | AUSTIN
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State | TX
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Zip | 78746-5571
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Country | US
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Telephone | 512-329-8000
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Fax | 512-329-8299
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR, PSYCHOLOGIST
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Name | DR. MELBA J VASQUEZ
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Credential | PHD
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Telephone | 512-329-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2-2529
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License Number State | TX
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