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General NPI Number Information
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NPI Number | 1710205000
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Entity Type | Individual
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Provider Name | DIVYASHREE VARMA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1930 E THOMAS RD
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City | PHOENIX
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State | AZ
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Zip | 85016-7711
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Country | US
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Telephone | 605-532-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 10645 N TATUM BLVD # 200
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City | PHOENIX
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State | AZ
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Zip | 85028-3068
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Country | US
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Telephone | 315-882-0534
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 58467
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301111507
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | Q9260
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 58467
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License Number State | AZ
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