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General NPI Number Information
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NPI Number | 1467250472
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Entity Type | Individual
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Provider Name | UM-E-RUBAB NAQVI OD
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Gender |
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 1979 MARCUS AVE STE 206
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City | NEW HYDE PARK
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State | NY
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Zip | 11042-1002
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Country | US
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Telephone | 571-534-9929
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Fax |
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Provider Business Mailing Address
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Address Line | 13536 OSPREYS VIEW PL
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City | WOODBRIDGE
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State | VA
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Zip | 22191-1353
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Country | US
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Telephone | 571-534-9929
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618003384
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OP2000571
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License Number State | DC
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