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General NPI Number Information
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NPI Number | 1205915618
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Entity Type | Individual
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Provider Name | CATHERINE J VARNUM O.D.
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Gender | Female
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Dates
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Enumeration Date | 11/04/2006
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 131 ACADEMY ST
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-3101
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Country | US
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Telephone | 207-764-1900
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Fax | 207-764-4900
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Provider Business Mailing Address
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Address Line | 131 ACADEMY ST
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-3101
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Country | US
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Telephone | 207-764-1900
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Fax | 207-764-4900
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT754
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License Number State | ME
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