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General NPI Number Information
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NPI Number | 1013590660
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Entity Type | Individual
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Provider Name | JESSICA VEGA PA
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Gender | Female
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Dates
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Enumeration Date | 05/02/2021
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 1722 S CAROLINA ST STE B
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City | HARLINGEN
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State | TX
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Zip | 78550-8306
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Country | US
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Telephone | 956-425-1368
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Fax | 956-425-1408
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Provider Business Mailing Address
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Address Line | 104 W FLEETWOOD AVE
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City | LA FERIA
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State | TX
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Zip | 78559-6295
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Country | US
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Telephone | 956-244-7568
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Fax | 956-361-4998
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA14512
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA14512
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License Number State | TX
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