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General NPI Number Information
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NPI Number | 1932415379
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Entity Type | Individual
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Provider Name | OSCAR LEOPOLDO MOREY VARGAS M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 3733 PARK EAST DR
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City | BEACHWOOD
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State | OH
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Zip | 44122-4338
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Country | US
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Telephone | 216-504-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 17270 BUCKTHORN DR
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City | CHAGRIN FALLS
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State | OH
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Zip | 44023-1412
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Country | US
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Telephone | 773-899-6788
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 125055243
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35.140593
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License Number State | OH
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