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General NPI Number Information
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NPI Number | 1770242232
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Entity Type | Individual
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Provider Name | BRIAN ALBERTO VARGAS-RESTO MPSY
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Gender | Male
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Dates
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Enumeration Date | 12/13/2021
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Last Update Date | 04/02/2022
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Provider Practice Location Address
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Address Line | AVE. NATIVO ALERS EDIF. PLAZA COPPELIA SUITE 205
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City | AGUADA
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State | PR
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Zip | 00602-9768
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Country | US
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Telephone | 787-868-1945
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 33516
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City | AGUADA
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State | PR
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Zip | 00602-9768
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Country | US
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Telephone | 787-517-1224
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 7288
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License Number State | PR
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