Physician Compare National (NPI:1255505566)
HEALTHCARE PROVIDER: ARACELI VAZQUEZ NUTRITION AND VIDA MS, RD, LD
Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.
Individual Professional Information |
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NPI
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1255505566
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Unique healthcare provider (clinician) ID assigned by NPPES
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PECOS UID
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3375608524
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Unique individual clinician ID assigned by PECOS
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Professional Enrollment ID
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I20090223000240
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Unique ID for the individual professional enrollment that is the source for the data in the observation
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Provider Last Name
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VAZQUEZ
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Individual professional last name
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Provider First Name
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ARACELI
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Individual professional first name
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Provider Gender
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F
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The provider's gender if the provider is a person.
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Medical School Information |
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Medical School Name
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OTHER
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Individual professional's medical school
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Graduation Year
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1997
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Individual professional's medical school graduation year
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Primary Specialty
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REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
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Primary medical specialty reported by the individual professional in the selected enrollment
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Practice Information |
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Line 1 Street Address
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12655 N CENTRAL EXPY
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Group Practice or individual's line 1 address
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Line 2 Street Address
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SUITE 325
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Group Practice or individual's line 2 address
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City
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DALLAS
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Group Practice or individual's city
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State
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TX
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Group Practice or individual's state
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Zip Code
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752431774
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Group Practice or individual's zip code (9 digits when available)
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Hospital(s) Affiliation Information |
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Professional Accepts Medicare Assignment
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Y
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