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General NPI Number Information
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NPI Number | 1730900945
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Entity Type | Individual
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Provider Name | AMANDA VARGAS HIS
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 6201 VETERANS PKWY STE D
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City | COLUMBUS
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State | GA
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Zip | 31909-6214
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Country | US
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Telephone | 706-225-8238
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Fax | 888-965-6992
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Provider Business Mailing Address
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Address Line | 6201 VETERANS PKWY STE D
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City | COLUMBUS
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State | GA
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Zip | 31909-6214
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Country | US
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Telephone | 706-225-8238
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Fax | 888-965-6992
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HADS001138
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License Number State | GA
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