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General NPI Number Information
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NPI Number | 1982993598
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Entity Type | Individual
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Provider Name | VASTHIE ARTEAGA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 11215 METRO PKWY STE 1
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City | FORT MYERS
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State | FL
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Zip | 33966-1206
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Country | US
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Telephone | 239-208-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 11215 METRO PKWY STE 1
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City | FORT MYERS
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State | FL
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Zip | 33966-1206
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Country | US
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Telephone | 866-483-9690
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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 | 2084P0015X
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Taxonomy Name | Psychosomatic Medicine Physician
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License Number | 121090
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0448090
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 121090
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License Number State | FL
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