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General NPI Number Information
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NPI Number | 1619020476
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Entity Type | Individual
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Provider Name | HECTOR LUIS VARGAS PH.D. MFT
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1767 S 8TH ST STE 210
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-1972
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Country | US
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Telephone | 619-865-7541
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 633
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City | COLORADO SPRINGS
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State | CO
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Zip | 80901-0633
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Country | US
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Telephone | 619-865-7541
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC #44953
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 0001363
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License Number State | CO
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