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NPI Code Detail

MEDICARE: YASENIA VEGA SLPA

MEDICARE:   YASENIA  VEGA  SLPA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12355S0801XSpeech-Language AssistantSI 1837FL

General Provider Information

NPI Number : 1699042333
Entity Type Code : Individual
Provider Name (Legal Business Name) : YASENIA VEGA SLPA
Provider Business Mailing Address
First Line : 10300 SW 72ND ST STE 280
Second Line :
City : MIAMI
State : FL
Zip : 33173-3032
Country : US
Telephone Number : 305-598-5589
Fax Number :
Provider Business Practice Location Address
First Line : 10300 SW 72ND ST STE 280
Second Line :
City : MIAMI
State : FL
Zip : 33173-3032
Country : US
Telephone Number : 305-598-5589
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2011
Last Update Date : 11/23/2011

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Directions to “ YASENIA VEGA SLPA” Practice Location

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