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General NPI Number Information
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NPI Number | 1457410920
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL LOPEZ-VIEGO MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 2800 S SEACREST BLVD SUITE 200
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7960
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Country | US
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Telephone | 561-736-8200
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Fax | 561-853-1608
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Provider Business Mailing Address
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Address Line | 2800 S SEACREST BLVD SUITE 200
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7960
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Country | US
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Telephone | 561-736-8200
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Fax | 561-853-1608
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME62294
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License Number State | FL
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