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General NPI Number Information
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NPI Number | 1437851953
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Entity Type | Individual
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Provider Name | DIANA VARGAS
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Gender | Female
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Dates
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Enumeration Date | 03/20/2023
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Last Update Date | 03/20/2023
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Provider Practice Location Address
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Address Line | 9140 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-6727
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Country | US
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Telephone | 818-830-7181
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Fax |
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Provider Business Mailing Address
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Address Line | 11228 DRONFIELD AVE
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City | PACOIMA
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State | CA
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Zip | 91331-1424
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Country | US
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Telephone | 818-714-9573
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95024443
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License Number State | CA
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