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General NPI Number Information
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NPI Number | 1891784088
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Entity Type | Organization
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Legal Business Name | VASPRO INC
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 10400 ACADEMY RD NE SUITE 340
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-1229
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Country | US
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Telephone | 505-298-1558
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Fax | 505-298-7012
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Provider Business Mailing Address
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Address Line | 10400 ACADEMY RD NE SUITE 340
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-1229
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Country | US
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Telephone | 505-298-1558
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Fax | 505-298-7012
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | MR. KENNETH G ABBOTT
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Credential |
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Telephone | 505-298-1558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R25188
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License Number State | NM
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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 | R19106
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R31749
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License Number State | NM
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN130480
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN086525
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R18198
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License Number State | NM
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