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General NPI Number Information
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NPI Number | 1629368170
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Entity Type | Individual
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Provider Name | OSCAR G. VEGA DDS
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Gender | Male
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Dates
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Enumeration Date | 04/17/2011
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Last Update Date | 11/11/2015
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Provider Practice Location Address
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Address Line | 306 S MAIN ST
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City | MADISON
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State | VA
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Zip | 22727-3026
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Country | US
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Telephone | 540-948-4488
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Fax | 540-948-4662
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Provider Business Mailing Address
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Address Line | PO BOX 304
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City | MADISON
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State | VA
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Zip | 22727-0304
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Country | US
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Telephone | 540-948-4488
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Fax | 540-948-4662
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401413659
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License Number State | VA
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