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General NPI Number Information
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NPI Number | 1881922292
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Entity Type | Organization
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Legal Business Name | KENNETH VARANO DO INC.
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 11/23/2009
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Provider Practice Location Address
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Address Line | 555 CROTON RD SUITE 140
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3176
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Country | US
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Telephone | 877-278-3697
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Fax | 877-278-3698
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Provider Business Mailing Address
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Address Line | 555 CROTON RD SUITE 140
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-3176
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Country | US
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Telephone | 877-278-3697
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Fax | 877-278-3698
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Authorized Official
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Title or Position | DIRECTOR
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Name | KENNETH VARANO
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Credential | D.O.
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Telephone | 877-278-3697
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | OS009028L
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License Number State | PA
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