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General NPI Number Information
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NPI Number | 1881653368
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Entity Type | Organization
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Legal Business Name | VARICOSMETICS PLLC
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Dates
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Enumeration Date | 03/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1350 E ARLINGTON BLVD
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City | GREENVILLE
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State | NC
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Zip | 27858
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Country | US
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Telephone | 252-947-1174
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 E ARLINGTON BLVD
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City | GREENVILLE
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State | NC
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Zip | 27858
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Country | US
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Telephone | 252-947-1174
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MELISSA B CINOCCA
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Credential | MD
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Telephone | 252-947-1174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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