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General NPI Number Information
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NPI Number | 1205075785
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Entity Type | Individual
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Provider Name | AMY LINDA VARSHOCK LD, DPD
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Gender | Female
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 3100 NW BUCKLIN HILL RD STE 104
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City | SILVERDALE
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State | WA
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Zip | 98383-8359
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Country | US
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Telephone | 360-434-4429
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Fax | 360-339-6538
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Provider Business Mailing Address
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Address Line | 3100 NW BUCKLIN HILL RD STE 104
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City | SILVERDALE
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State | WA
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Zip | 98383-8359
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Country | US
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Telephone | 360-420-4525
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Fax | 360-420-4525
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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 | 122400000X
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Taxonomy Name | Denturist
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License Number | DN34
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 122400000X
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Taxonomy Name | Denturist
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License Number | DN00000471
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License Number State | WA
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