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General NPI Number Information
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NPI Number | 1659105070
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Entity Type | Individual
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Provider Name | VERONICA VARGAS STUDENT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2024
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 3590 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-2655
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Country | US
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Telephone | 562-661-5989
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Fax |
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Provider Business Mailing Address
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Address Line | 14371 CLARK AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-2901
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Country | US
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Telephone | 866-733-5924
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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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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