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General NPI Number Information
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NPI Number | 1245449032
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Entity Type | Organization
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Legal Business Name | VIJAY NAIR OD PA
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 448 S ALAFAYA TRL SUITE 7
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City | ORLANDO
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State | FL
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Zip | 32828-8974
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Country | US
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Telephone | 407-382-6011
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Fax | 407-382-6234
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Provider Business Mailing Address
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Address Line | 448 S ALAFAYA TRL SUITE 7
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City | ORLANDO
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State | FL
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Zip | 32828-8974
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Country | US
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Telephone | 407-382-6011
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Fax | 407-382-6234
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Authorized Official
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Title or Position | OPTOMETRIST SOLE PROPRIETOR
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Name | DR. VIJAY NAIR
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Credential | O.D.
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Telephone | 407-382-6011
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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 | OPC3374
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License Number State | FL
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