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General NPI Number Information
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NPI Number | 1336033992
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Entity Type | Individual
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Provider Name | CAROLINE DENISE VEGA
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Gender |
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | CARR. 685 KM 4.5 BO. BOQUILLAS
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-466-8911
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Fax |
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Provider Business Mailing Address
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Address Line | CARR. 685 KM 4.5 BO. BOQUILLAS
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City | MANATI
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State | PR
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Zip | 00674
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Country | US
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Telephone | 787-466-8911
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 7886
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License Number State | PR
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