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General NPI Number Information
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NPI Number | 1346535671
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Entity Type | Individual
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Provider Name | KRISTEN BURKHART VARGA SLP
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Gender | Female
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 9020 58TH DR E #102
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City | BRADENTON
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State | FL
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Zip | 34202-6107
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Country | US
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Telephone | 941-809-9805
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Fax |
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Provider Business Mailing Address
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Address Line | 8811 17TH AVENUE CIR NW
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City | BRADENTON
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State | FL
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Zip | 34209-8159
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 17880
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 12374
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License Number State | FL
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