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General NPI Number Information
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NPI Number | 1972709079
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Entity Type | Individual
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Provider Name | LILIANA PATRICIA GARCIA-VARGAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 03/29/2017
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Provider Practice Location Address
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Address Line | 1420 S PILGRIM BLVD
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City | YORKTOWN
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State | IN
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Zip | 47396-9250
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Country | US
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Telephone | 765-759-4068
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 CHERRY HILL DR APT 105
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City | COLUMBIA
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State | MO
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Zip | 65203-5923
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Country | US
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Telephone | 313-574-4399
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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 | 4301089789
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License Number State | MI
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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 | 2010018321
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 01071868A
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License Number State | IN
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