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General NPI Number Information
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NPI Number | 1396556098
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Entity Type | Individual
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Provider Name | PAOLA FERNANDA VARGAS LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 106 FARMINGTON AVE
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City | NEW BRITAIN
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State | CT
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Zip | 06053-2949
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Country | US
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Telephone | 860-901-1033
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Fax |
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Provider Business Mailing Address
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Address Line | 140 FULKERSON DR APT 3A
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City | WATERBURY
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State | CT
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Zip | 06708-1423
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Country | US
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Telephone | 203-560-7039
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 21640081
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License Number State | CT
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