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General NPI Number Information
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NPI Number | 1598033961
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Entity Type | Organization
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Legal Business Name | JOSE VEGA MD PA
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 885 SW 109 AVE ROOM 131
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City | MIAMI
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State | FL
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Zip | 33199-0001
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Country | US
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Telephone | 305-348-4260
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Fax | 305-348-4430
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Provider Business Mailing Address
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Address Line | 11200 SW 8TH ST AHC 2 693
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City | MIAMI
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State | FL
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Zip | 33199-2516
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Country | US
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Telephone | 305-348-4260
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Fax | 305-348-4430
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE VEGA
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Credential | MD
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Telephone | 305-348-4260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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