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General NPI Number Information
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NPI Number | 1578006961
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Entity Type | Organization
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Legal Business Name | VARIABLE BILLING SERVICE LLC
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Dates
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Enumeration Date | 12/02/2016
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Last Update Date | 10/19/2017
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Provider Practice Location Address
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Address Line | 2336 SE OCEAN BLVD # 140
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City | STUART
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State | FL
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Zip | 34996-3310
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Country | US
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Telephone | 772-485-7108
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Fax | 888-972-5313
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Provider Business Mailing Address
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Address Line | 1144 NW 12TH TER
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City | STUART
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State | FL
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Zip | 34994-9678
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Country | US
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Telephone | 772-485-7108
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIRGINIA CARMICHAEL
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Credential |
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Telephone | 772-405-8826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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