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General NPI Number Information
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NPI Number | 1861623647
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Entity Type | Individual
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Provider Name | EMILY ANN VARGAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 460 W 34TH ST YAI 4TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10001-2320
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Country | US
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Telephone | 646-489-3484
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Fax |
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Provider Business Mailing Address
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Address Line | 316 W 47TH ST #1FW
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City | NEW YORK
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State | NY
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Zip | 10036-3110
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Country | US
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Telephone | 212-684-6334
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Fax | 212-273-6458
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 076459-1
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License Number State | NY
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