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NPI Code Detail

MEDICARE: ANDREA ELISE VARGAS

MEDICARE: ANDREA ELISE VARGAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1366125874
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA ELISE VARGAS
Provider Business Mailing Address
First Line : 15 ST ELIAS DR
Second Line :
City : DURHAM
State : NC
Zip : 27705-2879
Country : US
Telephone Number : 980-621-5090
Fax Number :
Provider Business Practice Location Address
First Line : 2320 REDBRIDGE LN
Second Line :
City : APEX
State : NC
Zip : 27502-2495
Country : US
Telephone Number : 919-925-4923
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2023
Last Update Date : 08/10/2023

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Directions to “ ANDREA ELISE VARGAS ” Practice Location

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