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General NPI Number Information
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NPI Number | 1982238341
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Entity Type | Organization
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Legal Business Name | VISHALI VARGA LLC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 100 E LINTON BLVD STE 122B
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3341
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Country | US
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Telephone | 561-332-6107
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Fax |
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Provider Business Mailing Address
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Address Line | 709 HERON DR
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City | DELRAY BEACH
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State | FL
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Zip | 33444-1923
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LCSW
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Name | KATHERINE BARRETT
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Credential |
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Telephone | 561-332-6107
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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 |
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License Number State |
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