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General NPI Number Information
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NPI Number | 1831925254
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Entity Type | Individual
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Provider Name | KARA JEAN WARGO CNP
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Gender | Female
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 4300 ALLEN RD
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City | STOW
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State | OH
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Zip | 44224-1032
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Country | US
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Telephone | 330-945-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 14587 LISA DR
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City | MAPLE HEIGHTS
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State | OH
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Zip | 44137-4157
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Country | US
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Telephone | 567-686-7481
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 0037505
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License Number State | OH
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