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General NPI Number Information
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NPI Number | 1396910998
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Entity Type | Individual
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Provider Name | GLADYS M VARGAS ARNP
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Gender | Female
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Dates
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Enumeration Date | 04/24/2008
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 303 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2709
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Country | US
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Telephone | 386-254-4080
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Fax | 386-947-1764
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Provider Business Mailing Address
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Address Line | PO BOX 732901
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City | DALLAS
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State | TX
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Zip | 75373-2901
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Country | US
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Telephone | 386-226-4590
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Fax | 386-226-3371
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP 1926242
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 364SP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | ARNP 1926242
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License Number State | FL
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