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General NPI Number Information
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NPI Number | 1518909142
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Entity Type | Individual
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Provider Name | AMY MICHELLE VARGO-KITE AU.D.
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Gender | Female
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 01/14/2009
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Provider Practice Location Address
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Address Line | 17021 YORBA LINDA BLVD SUITE 130
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City | YORBA LINDA
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State | CA
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Zip | 92886-3743
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Country | US
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Telephone | 714-579-0717
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Fax | 714-579-7827
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Provider Business Mailing Address
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Address Line | FILE #55745
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City | LOS ANGELES
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State | CA
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Zip | 90074-5745
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Country | US
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Telephone | 714-579-0717
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Fax | 714-579-7827
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AU 2096
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License Number State | CA
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