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General NPI Number Information
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NPI Number | 1932992500
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Entity Type | Individual
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Provider Name | LISMEL STEPHANIE VEGA
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 239 SABANETAS IND PK
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City | PONCE
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State | PR
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Zip | 00716-4401
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Country | US
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Telephone | 787-437-7132
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Fax |
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Provider Business Mailing Address
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Address Line | COLINAS DE SAN MARTIN A13 CALLE 2
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City | JUANA DIAZ
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State | PR
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Zip | 00795
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Country | US
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Telephone | 787-974-5629
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 6082
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License Number State | PR
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