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General NPI Number Information
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NPI Number | 1265337166
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Entity Type | Organization
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Legal Business Name | OPTI DYNAMIC LLC
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Dates
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Enumeration Date | 10/12/2026
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Last Update Date | 10/12/2026
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Provider Practice Location Address
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Address Line | 1011 HIGH RIDGE RD STE 101
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City | STAMFORD
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State | CT
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Zip | 06905-1604
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Country | US
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Telephone | 475-203-6344
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Fax |
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Provider Business Mailing Address
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Address Line | 19 OLD KINGS HWY S STE 200
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City | DARIEN
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State | CT
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Zip | 06820-4532
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Country | US
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Telephone | 475-203-6344
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | RAMESH KUMAR
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Credential |
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Telephone | 475-203-6344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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