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General NPI Number Information
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NPI Number | 1124006176
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Entity Type | Individual
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Provider Name | MARILYN J VARCOE PHD
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Gender | Female
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 5185 CASTELLO DR STE 3
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City | NAPLES
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State | FL
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Zip | 34103-8903
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Country | US
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Telephone | 239-263-0966
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Fax | 239-435-7893
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Provider Business Mailing Address
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Address Line | 5185 CASTELLO DR STE 3
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City | NAPLES
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State | FL
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Zip | 34103-8903
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Country | US
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Telephone | 239-263-0966
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Fax | 239-435-7893
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY6166
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS001554
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License Number State | PA
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