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General NPI Number Information
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NPI Number | 1932516432
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Entity Type | Organization
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Legal Business Name | ASHA VELISETTY MD
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 07/16/2014
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Provider Practice Location Address
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Address Line | 3309 SW 34TH CIR STE 100
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City | OCALA
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State | FL
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Zip | 34474-3311
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Country | US
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Telephone | 352-237-5115
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Fax | 352-237-4931
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Provider Business Mailing Address
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Address Line | 3309 SW 34TH CIR STE 100
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City | OCALA
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State | FL
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Zip | 34474-3311
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Country | US
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Telephone | 352-237-5115
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Fax | 352-237-4931
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Authorized Official
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Title or Position | OWNER
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Name | DR. ASHA VELISETTY
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Credential | M.D.
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Telephone | 352-237-5115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State | FL
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