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General NPI Number Information
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NPI Number | 1033154778
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Entity Type | Organization
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Legal Business Name | DAVID F. VARGAS, M.D., INC.
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15982 QUANTICO RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1382
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Country | US
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Telephone | 760-242-2361
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Fax | 760-242-1666
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Provider Business Mailing Address
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Address Line | 15982 QUANTICO RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-1382
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Country | US
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Telephone | 760-242-2361
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Fax | 760-242-1666
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. DAVID FLETCHER VARGAS
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Credential | M.D.
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Telephone | 760-242-2361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | G175010
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License Number State | CA
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