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General NPI Number Information
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NPI Number | 1437787520
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Entity Type | Individual
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Provider Name | EBIN NEDUVELIL MD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2020
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 600 GRESHAM DR
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MAIN ST STE 1300
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City | NORFOLK
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State | VA
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Zip | 23510-1756
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Country | US
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Telephone |
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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 | 0101286950
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License Number State | VA
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