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General NPI Number Information
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NPI Number | 1255442000
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Entity Type | Organization
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Legal Business Name | N. P. BHADRA, OD & ASSOCIATES, PC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/16/2010
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Provider Practice Location Address
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Address Line | 5236 MCGINNIS FERRY RD
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City | ALPHARETTA
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State | GA
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Zip | 30005-3921
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Country | US
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Telephone | 678-297-7575
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Fax |
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Provider Business Mailing Address
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Address Line | 3065 BRIERFIELD LK
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City | ALPHARETTA
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State | GA
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Zip | 30004-1189
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Country | US
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Telephone | 678-297-7575
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NEPA BHADRA
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Credential | O.D.
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Telephone | 678-297-7575
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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 | OPT001524
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License Number State | GA
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