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General NPI Number Information
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NPI Number | 1710892849
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Entity Type | Individual
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Provider Name | MIGUEL ANGEL FELICIANO VAZQUEZ PT
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Gender | Male
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 169 LEVITTOWN PKWY
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City | LEVITTOWN
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State | PA
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Zip | 19055-2463
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Country | US
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Telephone | 215-377-9932
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Fax |
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Provider Business Mailing Address
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Address Line | HC 5 BOX 7722
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City | YAUCO
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State | PR
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Zip | 00698-9731
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Country | US
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Telephone | 787-379-0569
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 034162
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License Number State | PA
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