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General NPI Number Information
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NPI Number | 1982514923
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Entity Type | Individual
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Provider Name | ELENA MARIA VASQUEZ
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 1504 PERRY CT SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87105-4713
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Country | US
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Telephone | 505-559-3173
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Fax |
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Provider Business Mailing Address
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Address Line | 1504 PERRY CT SW
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City | ALBUQUERQUE
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State | NM
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Zip | 87105-4713
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Country | US
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Telephone | 505-559-3173
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN-85447
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License Number State | NM
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