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NPI 1720194756

NPI 1720194756 : EDLIRA ALUSHI X O.D. : BROOKFIELD, CT

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General NPI Number Information
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    NPI Number           |    1720194756
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    Entity Type          |    Individual 
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    Provider Name        |    EDLIRA ALUSHI X O.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/22/2006
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    Last Update Date     |    07/24/2025
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Provider Practice Location Address
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    Address Line         |    49 FEDERAL RD 
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    City                 |    BROOKFIELD
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    State                |    CT
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    Zip                  |    06804-2505
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    Country              |    US
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    Telephone            |    475-289-2000
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    Fax                  |    475-289-2051
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Provider Business Mailing Address
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    Address Line         |    49 FEDERAL RD 
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    City                 |    BROOKFIELD
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    State                |    CT
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    Zip                  |    06804-2505
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    Country              |    US
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    Telephone            |    475-289-2000
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    Fax                  |    475-289-2051
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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       |    1248
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    License Number State |    AZ
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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       |    2617
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    License Number State |    CT
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