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General NPI Number Information
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NPI Number | 1891439543
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Entity Type | Organization
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Legal Business Name | VICTOR VEGA MORALES LLC
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Dates
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Enumeration Date | 04/27/2022
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 2 SECT EL ABANICO
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City | NARANJITO
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State | PR
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Zip | 00719-3804
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Country | US
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Telephone | 787-869-3387
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Fax |
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Provider Business Mailing Address
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Address Line | 1 SECT EL ABANICO
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City | NARANJITO
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State | PR
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Zip | 00719-3804
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Country | US
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Telephone | 787-362-1618
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/SECRETARY/VICEPRESIDENT
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Name | DR. VICTOR EMMANUEL VEGA MORALES
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Credential | DMD
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Telephone | 787-362-1618
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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