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General NPI Number Information
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NPI Number | 1790409886
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Entity Type | Individual
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Provider Name | RAWI E RUIZ VAZQUEZ FNP-C
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Gender | Male
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 7940 VIA DELLAGIO WAY STE 142
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City | ORLANDO
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State | FL
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Zip | 32819-5400
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Country | US
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Telephone | 407-965-3433
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 E HIGHWAY 50 STE 205A
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City | CLERMONT
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State | FL
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Zip | 34711-1975
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Country | US
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Telephone | 352-717-3474
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4357
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11027905
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License Number State | FL
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