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General NPI Number Information
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NPI Number | 1164529608
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Entity Type | Individual
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Provider Name | VILMA M VEGA MD
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Gender | Female
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Dates
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Enumeration Date | 09/19/2006
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Last Update Date | 02/19/2020
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Provider Practice Location Address
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Address Line | 3135 STATE ROAD 580 STE 1
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City | SAFETY HARBOR
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State | FL
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Zip | 34695-4917
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Country | US
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Telephone | 727-725-9931
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Fax |
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Provider Business Mailing Address
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Address Line | 8390 CHAMPIONS GATE BLVD STE 215
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City | CHAMPIONS GATE
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State | FL
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Zip | 33896-8312
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Country | US
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Telephone | 407-479-2013
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Fax | 407-390-1765
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | ME 0068013
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0068013
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License Number State | FL
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