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NPI 1194966358

NPI 1194966358 : SONA KALRA O.D. : FRONT ROYAL, VA

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General NPI Number Information
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    NPI Number           |    1194966358
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    Entity Type          |    Individual 
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    Provider Name        |    SONA KALRA O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/18/2009
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    Last Update Date     |    07/03/2010
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Provider Practice Location Address
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    Address Line         |    1211 N SHENANDOAH AVE 
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    City                 |    FRONT ROYAL
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    State                |    VA
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    Zip                  |    22630-3531
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    Country              |    US
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    Telephone            |    919-302-6336
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    520 COLSTON PL APT 302
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    City                 |    WINCHESTER
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    State                |    VA
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    Zip                  |    22601-6620
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    Country              |    US
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    Telephone            |    919-302-6336
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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        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    0618001849
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    152WC0802X
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    Taxonomy Name        |    Corneal and Contact Management Optometrist
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    License Number       |    0618001849
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    License Number State |    VA
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Taxonomy #3
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    Taxonomy Code        |    152WL0500X
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    Taxonomy Name        |    Low Vision Rehabilitation Optometrist
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    License Number       |    0618001849
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    License Number State |    VA
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Taxonomy #4
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    Taxonomy Code        |    152WX0102X
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    Taxonomy Name        |    Occupational Vision Optometrist
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    License Number       |    0618001849
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    License Number State |    VA
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Taxonomy #5
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    Taxonomy Code        |    152WP0200X
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    Taxonomy Name        |    Pediatric Optometrist
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    License Number       |    0618001849
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    License Number State |    VA
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Taxonomy #6
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    Taxonomy Code        |    152WS0006X
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    Taxonomy Name        |    Sports Vision Optometrist
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    License Number       |    0618001849
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    License Number State |    VA
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Taxonomy #7
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    Taxonomy Code        |    152WV0400X
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    Taxonomy Name        |    Vision Therapy Optometrist
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    License Number       |    0618001849
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    License Number State |    VA
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Taxonomy #8
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    1074-OD
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    License Number State |    WV
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