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General NPI Number Information
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NPI Number | 1477317873
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Entity Type | Individual
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Provider Name | BRITTANY VARGAS
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Gender | Female
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 5155 BLUE DIAMOND RD STE 102
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City | LAS VEGAS
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State | NV
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Zip | 89139-7698
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Country | US
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Telephone | 702-701-2838
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Fax |
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Provider Business Mailing Address
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Address Line | 2006 E PYLE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89183-6990
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Country | US
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Telephone | 702-701-2838
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 18-1450
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License Number State | NV
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