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General NPI Number Information
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NPI Number | 1699290411
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Entity Type | Organization
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Legal Business Name | RG VARGO DO INC
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Dates
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Enumeration Date | 08/14/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 738 W COSHOCTON ST
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City | JOHNSTOWN
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State | OH
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Zip | 43031-9581
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Country | US
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Telephone | 740-212-1212
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Fax | 740-212-1213
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Provider Business Mailing Address
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Address Line | 738 W COSHOCTON ST
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City | JOHNSTOWN
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State | OH
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Zip | 43031-9581
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Country | US
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Telephone | 740-212-1212
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Fax | 740-212-1213
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Authorized Official
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Title or Position | OWNER
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Name | MR. RONALD G VARGO
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Credential | DO
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Telephone | 740-212-1212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34003688
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License Number State | OH
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