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General NPI Number Information
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NPI Number | 1376570549
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Entity Type | Organization
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Legal Business Name | RICHARD VEGLIA DPM PC
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 02/24/2012
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Provider Practice Location Address
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Address Line | 1512 PLEASANTON ROAD
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1146
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Country | US
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Telephone | 210-924-0516
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Fax | 210-924-0166
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Provider Business Mailing Address
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Address Line | 1512 PLEASANTON ROAD
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City | SAN ANTONIO
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State | TX
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Zip | 78221-1146
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Country | US
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Telephone | 210-924-0516
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Fax | 210-924-0166
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Authorized Official
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Title or Position | PODIATRIST PRESIDENT OF CORP
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Name | DR. RICHARD VEGLIA
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Credential | DPM
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Telephone | 210-924-0516
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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