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General NPI Number Information
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NPI Number | 1245201946
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Entity Type | Individual
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Provider Name | LUIS E. VEGLIO PSY. D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2006
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Last Update Date | 04/15/2022
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Provider Practice Location Address
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Address Line | C9 AVE LUIS MUNOZ MARIN
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City | CAGUAS
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State | PR
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Zip | 00725-3330
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Country | US
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Telephone | 787-485-1583
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Fax | 787-946-1416
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Provider Business Mailing Address
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Address Line | PO BOX 1316
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City | SAINT JUST
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State | PR
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Zip | 00978-1316
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Country | US
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Telephone | 787-309-7064
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Fax | 787-946-1416
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 01615
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License Number State | PR
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