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General NPI Number Information
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NPI Number | 1508190612
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Entity Type | Individual
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Provider Name | ELIZABETH VARGAS LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 1620 W MINERAL KING AVE STE C&D
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City | VISALIA
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State | CA
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Zip | 93291-4440
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Country | US
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Telephone | 559-201-8408
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Fax | 559-702-0129
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Provider Business Mailing Address
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Address Line | 644 POLLASKY AVE STE 203
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City | CLOVIS
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State | CA
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Zip | 93612-1883
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Country | US
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Telephone | 559-201-8408
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Fax | 559-702-0129
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 136063
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License Number State | CA
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