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General NPI Number Information
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NPI Number | 1083197636
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Entity Type | Organization
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Legal Business Name | ZEN EYECARE LLC
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Dates
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Enumeration Date | 09/10/2018
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 7910 RICHMOND HWY
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City | ALEXANDRIA
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State | VA
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Zip | 22306-7826
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Country | US
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Telephone | 703-780-7324
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Fax | 703-780-0973
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Provider Business Mailing Address
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Address Line | 925 N FAIRFAX ST APT 703
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City | ALEXANDRIA
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State | VA
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Zip | 22314-5550
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Country | US
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Telephone | 603-858-3403
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Fax | 703-780-0973
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Authorized Official
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Title or Position | OD
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Name | MOJDE BAHREMAND
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Credential |
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Telephone | 603-858-3403
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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 |
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License Number State |
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