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General NPI Number Information
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NPI Number | 1700797735
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Entity Type | Individual
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Provider Name | HEIDI ROSSMERY VARGAS SOCIAL WORK STUDENT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 263 ROUTE 17K STE 220
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City | NEWBURGH
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State | NY
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Zip | 12550-8345
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Country | US
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Telephone | 845-200-9230
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Fax | 949-561-5645
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Provider Business Mailing Address
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Address Line | 2255 STATE ROUTE 32 UNIT 619
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City | MODENA
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State | NY
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Zip | 12548-7027
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Country | US
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Telephone | 845-200-9230
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Fax | 949-561-5645
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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 | 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 | NY
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