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General NPI Number Information
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NPI Number | 1225284086
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Entity Type | Individual
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Provider Name | ANNIE ELIZABETH VARGAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 127 N GREEN ST
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City | STATESVILLE
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State | NC
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Zip | 28677-5375
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Country | US
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Telephone | 704-766-6772
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Fax | 704-626-3349
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Provider Business Mailing Address
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Address Line | 3783 GORDON ST
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City | TERRELL
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State | NC
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Zip | 28682-9730
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Country | US
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Telephone | 704-677-6772
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Fax | 704-626-3349
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C007697
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License Number State | NC
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