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General NPI Number Information
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NPI Number | 1407485329
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Entity Type | Individual
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Provider Name | ABINAYA THENAPPAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 1501 SUPERIOR AVE STE 315
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City | NEWPORT BEACH
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State | CA
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Zip | 92663-3641
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Country | US
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Telephone | 562-219-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 3385 MICHELSON DR APT 163
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City | IRVINE
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State | CA
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Zip | 92612-3458
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Country | US
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Telephone | 562-219-1030
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 35.150037
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | A184685
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License Number State | CA
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