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General NPI Number Information
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NPI Number | 1932551132
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Entity Type | Individual
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Provider Name | REBECA ENID VAZQUEZ PULMONOLOGIST, MD
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Gender | Female
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Dates
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Enumeration Date | 07/12/2016
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 410 AVE HOSTOS STE 112
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City | MAYAGUEZ
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State | PR
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Zip | 00682-1560
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Country | US
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Telephone | 787-689-4334
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Fax |
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Provider Business Mailing Address
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Address Line | 410 AVE HOSTOS STE 112
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City | MAYAGUEZ
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State | PR
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Zip | 00682-1560
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Country | US
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Telephone | 787-689-4334
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 21344
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 21344
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 32314R
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License Number State | PR
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 21344
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License Number State | PR
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