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General NPI Number Information
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NPI Number | 1881812436
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Entity Type | Individual
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Provider Name | MAYDA Y VAZQUEZ CASE MANAGER
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Gender | Female
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1481 NW 36TH ST
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City | MIAMI
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State | FL
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Zip | 33142-5557
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Country | US
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Telephone | 305-635-7444
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Fax | 305-636-1711
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Provider Business Mailing Address
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Address Line | 7689 NW 178TH ST
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City | HIALEAH
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State | FL
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Zip | 33015-6162
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Country | US
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Telephone | 305-512-3286
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 251B00000X
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License Number State | FL
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