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General NPI Number Information
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NPI Number | 1588716518
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Entity Type | Organization
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Legal Business Name | ELLA VARNEY MD PHD LLC
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/11/2022
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Provider Practice Location Address
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Address Line | 1219 S EAST AVE
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City | SARASOTA
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State | FL
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Zip | 34239-2340
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Country | US
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Telephone | 941-350-1808
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Fax |
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Provider Business Mailing Address
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Address Line | 7716 CLUB LN
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City | SARASOTA
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State | FL
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Zip | 34238-5644
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Country | US
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Telephone | 941-224-3689
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Fax | 941-217-6990
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Authorized Official
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Title or Position | PHYSICIAN-OWNER
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Name | DR. ELLA V VARNEY
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Credential | MD PHD
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Telephone | 941-350-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME91816
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License Number State | FL
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