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NPI 1861662843

NPI 1861662843 : DR. G VARKEY DMD & ASSOCIATES PC : MIDLOTHIAN, VA

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General NPI Number Information
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    NPI Number           |    1861662843
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    Entity Type          |    Organization 
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    Legal Business Name  |    DR. G VARKEY DMD & ASSOCIATES PC 
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Dates
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    Enumeration Date     |    03/06/2008
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    Last Update Date     |    03/06/2008
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Provider Practice Location Address
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    Address Line         |    11627 MIDLOTHIAN TPKE 
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    City                 |    MIDLOTHIAN
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    State                |    VA
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    Zip                  |    23113-2620
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    Country              |    US
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    Telephone            |    804-897-8550
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    Fax                  |    804-897-8553
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Provider Business Mailing Address
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    Address Line         |    11627 MIDLOTHIAN TPKE 
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    City                 |    MIDLOTHIAN
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    State                |    VA
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    Zip                  |    23113-2620
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    Country              |    US
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    Telephone            |    804-897-8550
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    Fax                  |    804-897-8553
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. GEORGE PLATHOTTAM VARKEY 
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    Credential           |    DMD
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    Telephone            |    804-897-8550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    0401411075
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    License Number State |    VA
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