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General NPI Number Information
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NPI Number | 1992870513
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Entity Type | Individual
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Provider Name | VICTOR M VEGA TORRES OWNER
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | CARRETERA 385 KM 0.5 BO CUEVAS
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City | PENUELAS
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State | PR
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Zip | 00624
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Country | US
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Telephone | 787-836-7700
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Fax |
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Provider Business Mailing Address
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Address Line | 535 CALLE JUAN RODRIGUEZ
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City | PENUELAS
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State | PR
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Zip | 00624-1804
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Country | US
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Telephone | 787-836-7700
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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 | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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