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General NPI Number Information
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NPI Number | 1356433163
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Entity Type | Individual
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Provider Name | ANASUYA VASUDEVAN MD
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Gender | Female
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 530 E 76TH ST APT 30K
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City | NEW YORK
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State | NY
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Zip | 10021-0346
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Country | US
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Telephone | 617-823-5112
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Fax |
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Provider Business Mailing Address
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Address Line | 530 E 76TH ST APT 30K
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City | NEW YORK
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State | NY
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Zip | 10021-0346
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Country | US
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Telephone | 617-823-5112
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD459907
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 307990
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License Number State | NY
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