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General NPI Number Information
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NPI Number | 1184601767
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Entity Type | Individual
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Provider Name | NAYDA E VEGA MD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2005
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | AVE 65TH INFANTERIA KM12.3 INSTITUTO DE OJOS Y PIEL
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-769-2477
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Fax | 787-276-0065
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Provider Business Mailing Address
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Address Line | 1095 WILSON ST. APT 1601
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City | SAN JUAN
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State | PR
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Zip | 00907-1751
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Country | US
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Telephone | 787-725-2991
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Fax | 787-725-2991
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11807
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License Number State | PR
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