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General NPI Number Information
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NPI Number | 1174872907
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Entity Type | Organization
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Legal Business Name | WILLIAM VARGAS, M.D. P. A.
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 202 PARKVIEW PLACE
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City | LAKELAND
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State | FL
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Zip | 33805
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Country | US
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Telephone | 863-682-7246
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Fax | 863-683-7256
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Provider Business Mailing Address
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Address Line | 202 PARKVIEW PLACE
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City | LAKELAND
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State | FL
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Zip | 33805
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Country | US
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Telephone | 863-682-7246
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Fax | 863-683-7256
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Authorized Official
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Title or Position | M.D.
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Name | DR. WILLIAM VARGAS
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Credential | M.D. P.A.
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Telephone | 863-682-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | ME24608
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License Number State | FL
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