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General NPI Number Information
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NPI Number | 1699638791
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Entity Type | Individual
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Provider Name | LEAH LYNN VEGA RN
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Gender | Female
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 3458 NEELY RD
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City | JOINT BASE MDL
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State | NJ
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Zip | 08641-5312
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Country | US
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Telephone | 609-754-9443
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Fax |
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Provider Business Mailing Address
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Address Line | 1613A CEDAR ST
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City | JOINT BASE MDL
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State | NJ
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Zip | 08640-1618
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95254678
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 26NR26971900
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 163WP2201X
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Taxonomy Name | Ambulatory Care Registered Nurse
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License Number | 26NR26971900
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 26NR26971900
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License Number State | NJ
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