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General NPI Number Information
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NPI Number | 1891153896
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Entity Type | Individual
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Provider Name | MAGDELINA YVONNE VASQUEZ RN
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Gender | Female
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 1056 RIVER RD
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City | MANCHESTER
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State | NH
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Zip | 03104-1958
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Country | US
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Telephone | 603-665-1580
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Fax | 603-668-4143
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Provider Business Mailing Address
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Address Line | 1056 RIVER RD
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City | MANCHESTER
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State | NH
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Zip | 03104-1958
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Country | US
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Telephone | 603-665-1580
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Fax | 603-668-4143
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 072314-21
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 072314-21
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 072314-21
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License Number State | NH
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