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General NPI Number Information
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NPI Number | 1144347592
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Entity Type | Individual
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Provider Name | BARBORA VOLOVAROVA M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 1123 PACIFIC AVE SOUND PHYSICIANS
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City | TACOMA
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State | WA
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Zip | 98402-4303
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Country | US
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Telephone | 800-850-9665
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Fax | 253-682-1714
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Provider Business Mailing Address
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Address Line | 5299 OLYMPIC DR NW UNIT D
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City | GIG HARBOR
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State | WA
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Zip | 98335-2305
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Country | US
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Telephone |
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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 | MD 60002274
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License Number State | WA
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