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NPI 1992069272

NPI 1992069272 : ANURADHA VEERAPPAN O.D., M.S. : ROCKY HILL, CT

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General NPI Number Information
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    NPI Number           |    1992069272
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    Entity Type          |    Individual 
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    Provider Name        |    ANURADHA VEERAPPAN O.D., M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/01/2012
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    Last Update Date     |    04/05/2018
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Provider Practice Location Address
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    Address Line         |    2162 SILAS DEANE HWY 
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    City                 |    ROCKY HILL
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    State                |    CT
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    Zip                  |    06067-2346
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    Country              |    US
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    Telephone            |    860-259-9740
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1950 OLD GALLOWS RD STE 520 
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    City                 |    VIENNA
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    State                |    VA
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    Zip                  |    22182-3970
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    Country              |    US
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    Telephone            |    703-847-8899
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    Fax                  |    866-795-4020
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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       |    2985
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    License Number State |    CT
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