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General NPI Number Information
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NPI Number | 1184424731
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Entity Type | Organization
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Legal Business Name | VIDYA MEPPURATH NURSE PRACTITIONER IN ADULT HEALTH PLLC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 93 SAMPSON AVE
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City | ALBERTSON
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State | NY
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Zip | 11507-1707
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Country | US
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Telephone | 516-860-1707
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Fax |
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Provider Business Mailing Address
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Address Line | 93 SAMPSON AVE
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City | ALBERTSON
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State | NY
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Zip | 11507-1707
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Country | US
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Telephone | 516-760-2122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VIDYA MEPPURATH
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Credential | NP
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Telephone | 516-860-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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