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General NPI Number Information
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NPI Number | 1720068794
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Entity Type | Individual
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Provider Name | NEERAJA VARANASI MD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 18181 OAKWOOD BLVD SUITE 402
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City | DEARBORN
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State | MI
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Zip | 48124-5032
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Country | US
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Telephone | 313-996-7380
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Fax |
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Provider Business Mailing Address
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Address Line | 545 PINEHURST DR
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City | CANTON
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State | MI
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Zip | 48188-3078
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Country | US
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Telephone | 734-844-0692
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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 | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 4301069584
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License Number State | MI
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