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General NPI Number Information
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NPI Number | 1528867009
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Entity Type | Individual
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Provider Name | CAROLA MARINA VARGAS ARMAS APRN
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 2751 EXECUTIVE PARK DR STE 103
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City | WESTON
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State | FL
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Zip | 33331-3653
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Country | US
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Telephone | 954-289-7636
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Fax |
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Provider Business Mailing Address
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Address Line | 2751 EXECUTIVE PARK DR STE 103
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City | WESTON
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State | FL
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Zip | 33331-3653
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Country | US
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Telephone | 954-289-7636
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 11195
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11036942
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License Number State | FL
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