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General NPI Number Information
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NPI Number | 1508538877
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Entity Type | Individual
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Provider Name | KEVIN ANDREW VARUGHESE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 10/04/2021
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Provider Practice Location Address
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Address Line | 8805 LAKEVIEW PKWY
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City | ROWLETT
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State | TX
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Zip | 75088
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Country | US
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Telephone | 214-607-0546
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Fax |
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Provider Business Mailing Address
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Address Line | 2609 CHAPEL HILL DR
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City | ROWLETT
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State | TX
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Zip | 75088-2915
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Country | US
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Telephone | 214-448-1732
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 69339
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License Number State | TX
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