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General NPI Number Information
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NPI Number | 1306972070
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Entity Type | Individual
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Provider Name | WILLIAM E VARNADORE JR. D.O.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 02/28/2014
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Provider Practice Location Address
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Address Line | 82 SOUTH BARRETT SQUARE SUITE 2F
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City | ROSEMARY BEACH
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State | FL
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Zip | 32461-1000
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Country | US
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Telephone | 850-231-3165
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Fax |
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Provider Business Mailing Address
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Address Line | 307 VENTANA BLVD
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-4506
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Country | US
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Telephone | 850-231-3165
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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 | OS5513
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License Number State | FL
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