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General NPI Number Information
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NPI Number | 1891126157
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Entity Type | Organization
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Legal Business Name | CLINICA MEDICA VARGAS & ALMONTE
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Dates
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Enumeration Date | 12/11/2013
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Last Update Date | 12/11/2013
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Provider Practice Location Address
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Address Line | 2832 E LAKE MEAD BLVD STE E
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-6550
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Country | US
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Telephone | 702-476-9600
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Fax |
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Provider Business Mailing Address
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Address Line | 2832 E LAKE MEAD BLVD STE E
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-6550
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Country | US
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Telephone | 702-476-9600
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MIGUEL A VARGAS LAGUNAS
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Credential | M.D.
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Telephone | 702-476-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 12464
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License Number State | NV
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