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General NPI Number Information
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NPI Number | 1598326522
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Entity Type | Individual
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Provider Name | IRMARIS RAQUEL QUINONES VARGAS MD
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Gender | Female
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Dates
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Enumeration Date | 06/20/2019
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 2205 ROSS AVE STE 101
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City | EL CENTRO
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State | CA
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Zip | 92243-3623
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Country | US
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Telephone | 760-353-0404
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Fax | 760-353-0392
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Provider Business Mailing Address
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Address Line | 9373 HAZARD WAY STE 200
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City | SAN DIEGO
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State | CA
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Zip | 92123-1226
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Country | US
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Telephone | 858-810-8000
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Fax | 858-268-1911
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A203518
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License Number State | CA
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