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General NPI Number Information
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NPI Number | 1346759222
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Entity Type | Individual
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Provider Name | JOHN VARNER DDS, MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2017
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 707 W EAU GALLIE BLVD
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City | MELBOURNE
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State | FL
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Zip | 32935-5958
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Country | US
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Telephone | 321-727-3223
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Fax |
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Provider Business Mailing Address
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Address Line | 8523 LOREN COVE DR
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City | MELBOURNE
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State | FL
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Zip | 32940-7868
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Country | US
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Telephone | 801-673-6003
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10394591-9922
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 10394591-9925
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | ME171596
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License Number State | FL
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