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General NPI Number Information
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NPI Number | 1033120365
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Entity Type | Organization
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Legal Business Name | COLONIAL PARK PEDIATRICS ASSOCIATES
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2205 FOREST HILLS DR SUITE 12
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City | HARRISBURG
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State | PA
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Zip | 17112-1001
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Country | US
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Telephone | 717-652-8001
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Fax | 717-540-9757
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Provider Business Mailing Address
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Address Line | 2205 FOREST HILLS DR SUITE 12
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City | HARRISBURG
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State | PA
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Zip | 17112-1001
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Country | US
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Telephone | 717-652-8001
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Fax | 717-540-9757
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Authorized Official
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Title or Position | OWNER
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Name | DR. NEENA VARMA
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Credential | MD
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Telephone | 717-652-8001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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