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General NPI Number Information
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NPI Number | 1447775457
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Entity Type | Individual
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Provider Name | NADYAN VARGAS DMD
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Gender | Female
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | UNIVERSITY DISTRICT HOSPITAL, PR MEDICAL CENTER BO. MONACILLOS
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City | SAN JUAN
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State | PR
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Zip | 00936
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Country | US
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Telephone | 787-758-2525
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Fax |
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Provider Business Mailing Address
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Address Line | 191 CALLE CESAR GONZALEZ APT 804
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City | SAN JUAN
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State | PR
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Zip | 00918-1429
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Country | US
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Telephone | 787-600-5385
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 3237
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License Number State | PR
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