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General NPI Number Information
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NPI Number | 1245849173
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Entity Type | Individual
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Provider Name | VANESSA BEDOYA OD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 157 POST AVE
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City | WESTBURY
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State | NY
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Zip | 11590-3460
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Country | US
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Telephone | 516-415-2020
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Fax | 516-441-1004
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Provider Business Mailing Address
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Address Line | 737 HIGHVIEW AVE
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City | WESTBURY
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State | NY
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Zip | 11590-6401
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Country | US
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Telephone | 516-761-1738
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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 | 009205
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License Number State | NY
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