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General NPI Number Information
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NPI Number | 1033745849
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Entity Type | Individual
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Provider Name | JENNIFER VARGAS DDS
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Gender | Female
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Dates
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Enumeration Date | 03/13/2020
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 10117 CLEARY BLVD
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City | PLANTATION
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State | FL
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Zip | 33324-1066
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Country | US
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Telephone | 954-916-9060
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 NW 171ST TER
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City | PEMBROKE PINES
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State | FL
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Zip | 33028-2054
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Country | US
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Telephone | 954-696-8308
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN27478
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License Number State | FL
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