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General NPI Number Information
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NPI Number | 1780559468
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Entity Type | Individual
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Provider Name | RICARDO VEGA MURILLO SR. APRN
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Gender | Male
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 3650 NW 82ND AVE STE 208
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City | DORAL
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State | FL
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Zip | 33166-6682
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Country | US
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Telephone | 305-677-9267
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Fax |
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Provider Business Mailing Address
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Address Line | 1725 W 60TH ST APT F106
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City | HIALEAH
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State | FL
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Zip | 33012-6835
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Country | US
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Telephone | 786-769-0180
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 11039755
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License Number State | FL
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