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General NPI Number Information
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NPI Number | 1659530384
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Entity Type | Individual
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Provider Name | MRS. VASUDHA VASANT NAIR
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Gender | Female
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 2364 DREW ST
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City | CLEARWATER
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State | FL
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Zip | 33765-3310
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Country | US
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Telephone | 727-723-1100
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Fax | 727-723-1135
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Provider Business Mailing Address
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Address Line | 11301 GLENMONT DR
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City | TAMPA
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State | FL
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Zip | 33635-1531
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Country | US
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Telephone | 813-925-3321
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Fax | 813-925-3331
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT18787
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License Number State | FL
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