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General NPI Number Information
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NPI Number | 1144839481
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Entity Type | Individual
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Provider Name | DUAIT VEGA MALAGON APRN-FNP
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Gender | Male
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 2656 SWOOPING SPARROW DR
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City | HARMONY
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State | FL
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Zip | 34773-6188
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Country | US
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Telephone | 786-412-2834
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Fax |
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Provider Business Mailing Address
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Address Line | 2656 SWOOPING SPARROW DR
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City | HARMONY
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State | FL
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Zip | 34773-6188
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Country | US
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Telephone | 786-412-2834
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN9564919
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 11042274
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License Number State | FL
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