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General NPI Number Information
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NPI Number | 1811487200
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Entity Type | Organization
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Legal Business Name | VASQUEZ PULMONARY CONSULTANTS INC
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Dates
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Enumeration Date | 05/11/2018
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Last Update Date | 05/11/2018
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Provider Practice Location Address
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Address Line | 12905 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-2905
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Country | US
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Telephone | 786-507-8830
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Fax | 786-294-6802
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Provider Business Mailing Address
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Address Line | PO BOX 563432
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City | MIAMI
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State | FL
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Zip | 33256-3432
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Country | US
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Telephone | 402-850-7178
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EDUARDO J VASQUEZ
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Credential | MD
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Telephone | 402-850-7178
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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