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General NPI Number Information
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NPI Number | 1427917509
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Entity Type | Individual
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Provider Name | KATHIA MARIE VEGA ALICEA MS
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | HC 3 BOX 8865
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City | MOCA
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State | PR
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Zip | 00676-9259
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Country | US
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Telephone | 787-410-4943
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 8865
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City | MOCA
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State | PR
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Zip | 00676-9259
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Country | US
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Telephone | 787-410-4943
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 8066
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License Number State | PR
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