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General NPI Number Information
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NPI Number | 1245706423
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Entity Type | Organization
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Legal Business Name | VARGAS MEDICAL SERVICES LLC
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 08/05/2019
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Provider Practice Location Address
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Address Line | 606 SHERIDAN RD
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City | MELBOURNE
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State | FL
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Zip | 32901-3227
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Country | US
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Telephone | 321-727-0984
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Fax | 321-727-3606
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Provider Business Mailing Address
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Address Line | 4190 RICHWOOD CT
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City | MERRITT ISLAND
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State | FL
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Zip | 32952-6237
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Country | US
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Telephone | 321-727-0984
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Fax | 321-727-3606
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Authorized Official
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Title or Position | OWNER
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Name | DR. VICTOR M VARGAS
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Credential | MD
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Telephone | 321-727-0984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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