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General NPI Number Information
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NPI Number | 1659304681
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Entity Type | Organization
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Legal Business Name | ISABEL C. VIGIL, MD, PC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 2803 DORAL CT
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City | LAS CRUCES
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State | NM
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Zip | 88011-8616
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Country | US
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Telephone | 505-522-1628
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Fax | 505-522-1636
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Provider Business Mailing Address
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Address Line | 2803 DORAL CT
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City | LAS CRUCES
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State | NM
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Zip | 88011-8616
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Country | US
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Telephone | 505-522-1628
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Fax | 505-522-1636
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Authorized Official
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Title or Position | OWNER
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Name | DR. ISABEL C VIGIL
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Credential | MD
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Telephone | 505-522-1628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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