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General NPI Number Information
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NPI Number | 1407255375
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Entity Type | Individual
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Provider Name | PATRICIA VARMA
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Gender | Female
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Dates
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Enumeration Date | 08/17/2014
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Last Update Date | 08/17/2014
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Provider Practice Location Address
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Address Line | 79 WAWECUS ST
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City | NORWICH
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State | CT
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Zip | 06360-2160
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Country | US
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Telephone | 860-886-2679
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Fax |
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Provider Business Mailing Address
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Address Line | 30 PLUM HL
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City | EAST LYME
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State | CT
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Zip | 06333-1466
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Country | US
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Telephone | 860-691-3389
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5870
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License Number State | CT
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