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General NPI Number Information
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NPI Number | 1104459635
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Entity Type | Individual
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Provider Name | MR. JARON VARNER
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Gender | Male
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Dates
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Enumeration Date | 02/12/2020
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Last Update Date | 02/12/2020
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Provider Practice Location Address
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Address Line | 18977 W 10 MILE RD STE 100A
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2627
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Country | US
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Telephone | 319-569-9214
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 HIGHWAY 6 E APT 18112
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City | IOWA CITY
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State | IA
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Zip | 52240-6854
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Country | US
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Telephone | 319-569-9214
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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