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General NPI Number Information
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NPI Number | 1245602895
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Entity Type | Individual
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Provider Name | VERONIKA AGEYEVA O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 16853 NE 2ND AVE STE 201
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1776
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Country | US
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Telephone | 305-654-8810
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Fax |
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Provider Business Mailing Address
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Address Line | 20244 NE 34TH CT
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City | AVENTURA
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State | FL
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Zip | 33180-3301
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Country | US
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Telephone |
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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 | OPC 5155
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License Number State | FL
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