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General NPI Number Information
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NPI Number | 1760848410
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Entity Type | Individual
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Provider Name | JENNIFER COVIE VARGAS NP
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Gender | Female
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Dates
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Enumeration Date | 01/11/2016
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 3545 HARRISON AVE
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City | BUTTE
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State | MT
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Zip | 59701-3547
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Country | US
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Telephone | 406-430-1034
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Fax |
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Provider Business Mailing Address
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Address Line | 1870 BAGNELL DAM BLVD
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City | LAKE OZARK
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State | MO
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Zip | 65049-8658
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Country | US
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Telephone | 573-365-2318
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Fax | 573-365-3009
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 2016000429
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A006120
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NUR-APRN-LIC-250947
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License Number State | MT
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