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General NPI Number Information
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NPI Number | 1528370327
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Entity Type | Organization
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Legal Business Name | DR JOHN J VARGO INC
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/03/2011
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Provider Practice Location Address
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Address Line | 5480 NORQUEST BLVD
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-1820
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Country | US
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Telephone | 330-799-8000
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Fax | 330-799-8579
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Provider Business Mailing Address
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Address Line | PO BOX 4374
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City | YOUNGSTOWN
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State | OH
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Zip | 44515-0374
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Country | US
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Telephone | 330-799-8000
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Fax | 330-799-8579
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN JOSEPH VARGO
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Credential | D.O.
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Telephone | 330-799-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 34004553
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License Number State | OH
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