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NPI 1093739310

NPI 1093739310 : REGINA ANN STRAND OD : UNCASVILLE, CT

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General NPI Number Information
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    NPI Number           |    1093739310
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    Entity Type          |    Individual 
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    Provider Name        |    REGINA ANN STRAND OD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2006
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    Last Update Date     |    01/05/2012
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Provider Practice Location Address
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    Address Line         |    2020 NORWICH NEW LONDON TURNPIKE UNIT 8
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    City                 |    UNCASVILLE
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    State                |    CT
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    Zip                  |    06382
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    Country              |    US
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    Telephone            |    860-848-8777
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    Fax                  |    860-848-3388
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Provider Business Mailing Address
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    Address Line         |    2020 NORWICH NEW LONDON TURNPIKE UNIT 8
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    City                 |    UNCASVILLE
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    State                |    CT
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    Zip                  |    06382
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    Country              |    US
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    Telephone            |    860-848-8777
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    Fax                  |    860-848-3388
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    2111
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    License Number State |    CT
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