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General NPI Number Information
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NPI Number | 1922562602
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Entity Type | Individual
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Provider Name | CHRISTINE MARIE BARROS VEGUILLA MD
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Gender | Female
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Dates
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Enumeration Date | 01/26/2019
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1323 GREENE AVE
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City | BROOKLYN
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State | NY
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Zip | 11237-4901
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Country | US
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Telephone | 347-569-6006
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 367442
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City | SAN JUAN
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State | PR
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Zip | 00936-7442
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 336577
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License Number State | NY
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