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General NPI Number Information
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NPI Number | 1932652740
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Entity Type | Individual
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Provider Name | ABNER ERIC VAZQUEZ PABON
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Gender | Male
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Dates
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Enumeration Date | 07/27/2016
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Last Update Date | 03/18/2024
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Provider Practice Location Address
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Address Line | AVE. AMALIA PAOLI HI5 7MA SECC LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00949-0094
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Country | US
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Telephone | 787-784-9595
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Fax |
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Provider Business Mailing Address
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Address Line | FF10 COND VILLAS DE PLAYA 2
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City | DORADO
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State | PR
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Zip | 00646-6515
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Country | US
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Telephone | 787-402-8388
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 21851
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License Number State | PR
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