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General NPI Number Information
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NPI Number | 1740102730
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Entity Type | Individual
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Provider Name | SUREKA SUNTHARAVEL OD
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Gender | Female
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Dates
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Enumeration Date | 07/29/2026
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Last Update Date | 07/29/2026
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Provider Practice Location Address
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Address Line | 905 CROSSINGS RD
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City | SANDUSKY
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State | OH
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Zip | 44870-8913
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Country | US
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Telephone | 419-626-5148
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Fax |
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Provider Business Mailing Address
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Address Line | 176 CHEROKEE DRIVE
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City | VAUGHAN
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State | ON
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Zip | L6A2M7
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Country | CA
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Telephone |
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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 | OPT.007527
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License Number State | OH
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