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General NPI Number Information
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NPI Number | 1972462620
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Entity Type | Individual
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Provider Name | TULSI AMIN OD
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Gender | Female
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 303 N RIDGEWOOD AVE
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City | EDGEWATER
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State | FL
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Zip | 32132-1617
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Country | US
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Telephone | 386-424-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 1509 OAK FOREST DR
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City | ORMOND BEACH
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State | FL
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Zip | 32174-3409
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Country | US
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Telephone | 386-275-9252
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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 | 6864
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License Number State | FL
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