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General NPI Number Information
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NPI Number | 1609005461
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Entity Type | Individual
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Provider Name | ANITA PRAKASH VIN-PARIKH MD
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Gender | Female
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3320 EXECUTIVE DR
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City | RALEIGH
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State | NC
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Zip | 27609-7445
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Country | US
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Telephone | 919-876-2427
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Fax | 919-850-9234
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Provider Business Mailing Address
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Address Line | 3320 EXECUTIVE DR
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City | RALEIGH
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State | NC
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Zip | 27609-7445
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Country | US
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Telephone | 919-876-2427
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Fax | 919-850-9234
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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 | 207WX0009X
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Taxonomy Name | Glaucoma Specialist (Ophthalmology) Physician
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License Number | 2013-00412
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License Number State | NC
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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 | 2013-00412
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License Number State | NC
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