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General NPI Number Information
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NPI Number | 1457216640
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Entity Type | Individual
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Provider Name | ANGELIQUE VEGA
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 585 AUTO CENTER DR
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City | WATSONVILLE
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State | CA
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Zip | 95076-3764
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Country | US
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Telephone | 831-226-3728
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Fax |
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Provider Business Mailing Address
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Address Line | 37 AIRPORT RD
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City | FREEDOM
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State | CA
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Zip | 95019-2616
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Country | US
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Telephone | 831-840-2637
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Fax | 831-840-2637
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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