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General NPI Number Information
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NPI Number | 1992053540
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Entity Type | Individual
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Provider Name | VARUN JAIN M.D
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Gender | Male
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 4363 NW 61ST TER APT 3Q
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City | GAINESVILLE
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State | FL
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Zip | 32606-4289
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Country | US
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Telephone | 917-213-5851
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Fax |
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Provider Business Mailing Address
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Address Line | 4363 NW 61ST TER
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City | GAINESVILLE
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State | FL
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Zip | 32606-4289
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Country | US
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Telephone | 508-280-4027
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 155963
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License Number State | FL
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