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General NPI Number Information
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NPI Number | 1124484365
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Entity Type | Individual
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Provider Name | MONRETTA L VEGA LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/04/2016
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Last Update Date | 02/26/2019
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Provider Practice Location Address
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Address Line | 7540 MEMORIAL PKWY SW STE W
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City | HUNTSVILLE
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State | AL
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Zip | 35802-2208
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Country | US
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Telephone | 256-519-9144
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Fax | 256-519-9142
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Provider Business Mailing Address
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Address Line | 7540 MEMORIAL PKWY SW STE W
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City | HUNTSVILLE
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State | AL
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Zip | 35802-2208
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Country | US
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Telephone | 256-824-9171
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Fax | 256-824-9170
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3279
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License Number State | AL
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