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General NPI Number Information
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NPI Number | 1285071126
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Entity Type | Individual
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Provider Name | CHRISTEN L VAGTS MD
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Gender | Female
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Dates
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Enumeration Date | 06/02/2013
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 1200 EAST. BROAD ST. PO BOX 980509
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City | RICHMOND
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State | VA
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Zip | 23298
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Country | US
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Telephone | 804-828-9726
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Fax | 804-828-4926
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Provider Business Mailing Address
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Address Line | 830 S WOOD ST. (MC719) ROOM 920N
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City | CHICAGO
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State | IL
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Zip | 60612
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Country | US
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Telephone | 312-996-8039
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.145825
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101259194
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 036145825
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License Number State | IL
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