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General NPI Number Information
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NPI Number | 1588280945
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Entity Type | Individual
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Provider Name | ANA GABRIELA VARGAS GARCIA
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Gender | Female
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Dates
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Enumeration Date | 06/22/2020
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 393 E WALNUT ST
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City | PASADENA
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State | CA
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Zip | 91188-2003
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 172
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City | BURBANK
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State | CA
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Zip | 91503-0172
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Country | US
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Telephone | 786-493-5830
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 102428
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 129118
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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