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General NPI Number Information
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NPI Number | 1053947986
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Entity Type | Individual
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Provider Name | MICHAELA VARYS MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 06/22/2024
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Provider Practice Location Address
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Address Line | 3335 S CRATER RD
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City | PETERSBURG
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State | VA
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Zip | 23805-9396
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Country | US
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Telephone | 804-765-5445
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Fax |
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Provider Business Mailing Address
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Address Line | 3709 OLD GUN RD W
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-2019
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Country | US
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Telephone | 980-250-4759
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101278165
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License Number State | VA
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