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General NPI Number Information
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NPI Number | 1255562799
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Entity Type | Individual
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Provider Name | MONICA VEGA VAZQUEZ MD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 09/30/2021
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Provider Practice Location Address
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Address Line | 423 MARGINAL AGUEYBANA AVE LUIS MUNOZ RIVERA
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City | SAN JUAN
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State | PR
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Zip | 00918-5067
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Country | US
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Telephone | 787-943-6983
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Fax |
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Provider Business Mailing Address
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Address Line | 46 CALLE GUAYABO
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City | GUAYNABO
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State | PR
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Zip | 00971-4001
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Country | US
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Telephone | 787-662-2423
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 18482
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 18482
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License Number State | PR
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