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General NPI Number Information
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NPI Number | 1831893023
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Entity Type | Individual
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Provider Name | CAMILLE VASQUEZ DMD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 28 UNION AVE
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City | MANASQUAN
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State | NJ
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Zip | 08736-3647
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Country | US
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Telephone | 732-775-1492
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Fax |
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Provider Business Mailing Address
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Address Line | 671 MIDWOOD RD
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City | RIDGEWOOD
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State | NJ
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Zip | 07450-5519
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Country | US
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Telephone | 201-655-1944
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22DI03081200
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License Number State | NJ
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