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General NPI Number Information
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NPI Number | 1942942107
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Entity Type | Organization
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Legal Business Name | VARSITY HEALTH LLC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/27/2022
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Provider Practice Location Address
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Address Line | 33701 STATE ROAD 52
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City | SAINT LEO
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State | FL
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Zip | 33574-9701
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Country | US
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Telephone | 360-771-1758
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Fax |
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Provider Business Mailing Address
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Address Line | 829 CHEHALIS PL N
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City | KEIZER
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State | OR
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Zip | 97303-5326
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Country | US
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Telephone | 503-559-4478
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF ADMINISTRATION
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Name | JOSHUA ARGUIEN
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Credential |
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Telephone | 503-559-4478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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