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NPI Code Detail

MEDICARE: ADDISON CAIN VAZQUEZ

MEDICARE: ADDISON CAIN VAZQUEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367H00000XAnesthesiologist Assistant67.000343OH

General Provider Information

NPI Number : 1548820921
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADDISON CAIN VAZQUEZ
Provider Business Mailing Address
First Line : 777 PESHEK LN
Second Line :
City : SPRINGFIELD
State : OH
Zip : 45506-4209
Country : US
Telephone Number : 937-215-1181
Fax Number :
Provider Business Practice Location Address
First Line : 500 S CLEVELAND AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-8971
Country : US
Telephone Number : 380-989-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2019
Last Update Date : 02/13/2026

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Directions to “ ADDISON CAIN VAZQUEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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