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General NPI Number Information
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NPI Number | 1871541490
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Entity Type | Individual
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Provider Name | JOJU VARIATH MD
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Gender | Male
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 12/21/2011
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Provider Practice Location Address
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Address Line | 223 CARLTON DAVIDSON LN
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City | COAL GROVE
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State | OH
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Zip | 45638-2924
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Country | US
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Telephone | 740-532-3048
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Fax |
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Provider Business Mailing Address
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Address Line | 305 N 5TH ST
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City | IRONTON
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State | OH
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Zip | 45638-1578
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Country | US
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Telephone | 740-532-3534
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35074076V
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License Number State | OH
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