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General NPI Number Information
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NPI Number | 1508902099
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Entity Type | Individual
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Provider Name | LILLIAN M. VARGAS MD
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 05/07/2013
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Provider Practice Location Address
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Address Line | 1050 CYPRESS PKWY
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City | KISSIMMEE
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State | FL
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Zip | 34759-3328
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Country | US
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Telephone | 407-483-1400
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Fax | 407-483-1405
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Provider Business Mailing Address
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Address Line | PO BOX 616788
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City | ORLANDO
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State | FL
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Zip | 32861-6788
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Country | US
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Telephone | 407-447-7105
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Fax | 407-770-0594
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0047210
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | ME0047210
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License Number State | FL
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