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General NPI Number Information
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NPI Number | 1699575316
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Entity Type | Individual
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Provider Name | SANTIAGO VEGA
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Gender | Male
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1714 RAFAEL PEREZ SERNA FRACCIONAMIENTO PUERTA DEL SOL
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City | JUAREZ
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State | CHIHUAHUA
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Zip | 32410
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Country | MX
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Telephone | 915-329-1897
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Fax |
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Provider Business Mailing Address
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Address Line | 10075 FENWAY DR
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City | EL PASO
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State | TX
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Zip | 79925-6825
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Country | US
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Telephone | 915-329-1897
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Fax |
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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 | 175L00000X
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Taxonomy Name | Homeopath
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License Number |
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License Number State |
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