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General NPI Number Information
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NPI Number | 1346023801
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Entity Type | Organization
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Legal Business Name | VARSITY TRAVEL
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Dates
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Enumeration Date | 08/17/2023
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 176 HACK WILSON WAY
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City | MARTINSBURG
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State | WV
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Zip | 25401-4384
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Country | US
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Telephone | 540-678-2871
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Fax | 540-678-2873
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Provider Business Mailing Address
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Address Line | 220 IMBODEN DR
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City | WINCHESTER
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State | VA
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Zip | 22603-5793
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Country | US
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Telephone | 540-678-2871
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Fax | 540-678-2873
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Authorized Official
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Title or Position | ADMIN MANAGER
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Name | JANICE BORU
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Credential |
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Telephone | 540-678-2871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 342000000X
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Taxonomy Name | Transportation Network Company
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License Number |
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License Number State |
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