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General NPI Number Information
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NPI Number | 1265999668
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Entity Type | Individual
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Provider Name | JULIAN VARELA ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 6 ARAGON AVE
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City | CORAL GABLES
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State | FL
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Zip | 33134-5300
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Country | US
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Telephone | 305-448-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 10765 SW 108TH AVE APT 204
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City | MIAMI
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State | FL
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Zip | 33176-8105
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Country | US
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Telephone | 305-323-3425
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL3223
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License Number State | FL
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