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General NPI Number Information
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NPI Number | 1013274919
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Entity Type | Individual
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Provider Name | ARTHI VENKAT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 1300 JEFFERSON PARK AVE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-3363
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Country | US
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Telephone | 434-924-5485
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Fax | 434-244-9436
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Provider Business Mailing Address
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Address Line | PO BOX 9007
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22906-9007
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Country | US
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Telephone |
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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 | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 0101270281
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | D0090209
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 0101270281
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License Number State | VA
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