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General NPI Number Information
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NPI Number | 1255479762
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Entity Type | Individual
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Provider Name | ADEL R VARGAS MD
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | URB. MARIOLGA LUIS MUNOZ MARIN HOSP.HIMA SUITE 103
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City | CAGUAS
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State | PR
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Zip | 00726-4980
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Country | US
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Telephone | 787-612-0813
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Fax | 787-283-1159
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Provider Business Mailing Address
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Address Line | PO BOX 759
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City | HUMACAO
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State | PR
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Zip | 00792-0759
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Country | US
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Telephone | 787-612-0813
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Fax | 787-283-1159
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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 | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 10491
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License Number State | PR
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