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General NPI Number Information
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NPI Number | 1174168926
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Entity Type | Organization
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Legal Business Name | CENTER FOR VARICOSE VEINS, LLC
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 35 DANBURY RD
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City | WILTON
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State | CT
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Zip | 06897-4428
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Country | US
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Telephone | 203-529-5521
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Fax |
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Provider Business Mailing Address
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Address Line | 35 DANBURY RD STE 9
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City | WILTON
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State | CT
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Zip | 06897-4444
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Country | US
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Telephone | 203-762-6365
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Fax | 203-762-6367
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. VINAY MADAN
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Credential | MD, DABVLM
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Telephone | 860-997-7498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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