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General NPI Number Information
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NPI Number | 1184940587
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Entity Type | Organization
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Legal Business Name | DR. AADITYA AJMANI AND ASSOCIATES, P.C.
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Dates
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Enumeration Date | 04/12/2010
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Last Update Date | 04/12/2010
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Provider Practice Location Address
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Address Line | 1149 NIMMO PKWY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23456-7730
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Country | US
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Telephone | 757-427-2054
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Fax | 757-427-2055
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Provider Business Mailing Address
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Address Line | PO BOX 11497
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City | NORFOLK
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State | VA
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Zip | 23517-0497
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Country | US
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Telephone | 757-427-2054
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Fax | 757-427-2055
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AADITYA AJMANI
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Credential | O.D.
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Telephone | 757-427-2054
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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 | 061801355
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License Number State | VA
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