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General NPI Number Information
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NPI Number | 1104012251
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Entity Type | Organization
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Legal Business Name | GEORGE VAROUNIS DPM
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Dates
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Enumeration Date | 09/22/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 1301 BEVILLE RD SUITE 17
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City | DAYTONA BEACH
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State | FL
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Zip | 32119-9009
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Country | US
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Telephone | 386-761-1411
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Fax | 386-761-8539
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Provider Business Mailing Address
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Address Line | 1301 BEVILLE RD SUITE 17
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City | DAYTONA BEACH
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State | FL
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Zip | 32119-9009
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Country | US
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Telephone | 386-761-1411
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Fax | 386-761-8539
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE VAROUNIS
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Credential | DPM
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Telephone | 386-761-1411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO2962
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License Number State | FL
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