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General NPI Number Information
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NPI Number | 1700124435
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Entity Type | Organization
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Legal Business Name | VEIN INSTITUTE, INC.
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 01/31/2023
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Provider Practice Location Address
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Address Line | 33 CHURCH HILL RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1612
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Country | US
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Telephone | 203-426-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 33 CHURCH HILL RD
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City | NEWTOWN
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State | CT
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Zip | 06470-1612
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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 | PHYSICIAN/OWNER
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Name | DR. ALIREZA AFSHAR
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Credential | M.D.
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Telephone | 203-426-5554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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