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General NPI Number Information
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NPI Number | 1972325751
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Entity Type | Individual
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Provider Name | NICOLE ELIZABETH VASQUEZ
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Gender | Female
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 575 8TH AVE FL 6
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City | NEW YORK
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State | NY
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Zip | 10018-3158
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Country | US
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Telephone | 800-344-4867
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Fax |
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Provider Business Mailing Address
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Address Line | 6670 S DOWNING ST
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City | CENTENNIAL
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State | CO
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Zip | 80121-2522
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Country | US
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Telephone | 303-594-7238
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | PENDING
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License Number State | CO
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