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General NPI Number Information
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NPI Number | 1295529691
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Entity Type | Individual
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Provider Name | ESHAUN CAMILLE VARGAS
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Gender | Female
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 7146 NOLENSVILLE RD
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City | NOLENSVILLE
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State | TN
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Zip | 37135-9585
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Country | US
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Telephone | 615-283-6150
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Fax |
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Provider Business Mailing Address
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Address Line | 433 OLD COLUMBIA RD
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City | UNIONVILLE
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State | TN
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Zip | 37180-8571
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Country | US
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Telephone | 917-557-1315
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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