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General NPI Number Information
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NPI Number | 1194098053
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Entity Type | Organization
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Legal Business Name | DR SUJIT R VARMA INC
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 4444 WEST 76TH STREET SUITE 400
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City | EDINA
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State | MN
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Zip | 55435-5178
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Country | US
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Telephone | 612-746-7347
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Fax | 612-746-7348
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Provider Business Mailing Address
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Address Line | 4444 WEST 76TH STREET SUITE 400
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City | EDINA
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State | MN
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Zip | 55435-5178
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Country | US
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Telephone | 612-746-7347
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Fax | 612-746-7348
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Authorized Official
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Title or Position | OWNER
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Name | MR. SUJIT RAM VARMA
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Credential | M.D.
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Telephone | 952-687-1724
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 48076
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License Number State | MN
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