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General NPI Number Information
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NPI Number | 1790144772
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Entity Type | Organization
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Legal Business Name | KAVERI VISION AND WELLNESS
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Dates
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Enumeration Date | 02/18/2016
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 20 MILLTOWN RD SUITE 201
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City | BREWSTER
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State | NY
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Zip | 10509-4344
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Country | US
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Telephone | 845-279-6179
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Fax | 845-279-3619
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Provider Business Mailing Address
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Address Line | 20 MILLTOWN RD SUITE 201
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City | BREWSTER
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State | NY
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Zip | 10509-4344
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Country | US
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Telephone | 845-279-6179
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Fax | 845-279-3619
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANUJA JOSHI
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Credential | O.D.
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Telephone | 845-279-6179
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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 | TUV0075171
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License Number State | IL
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