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General NPI Number Information
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NPI Number | 1114841640
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Entity Type | Organization
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Legal Business Name | JEWEL'S EYECARE, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 804 S VICTORY BLVD
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City | BURBANK
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State | CA
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Zip | 91502-2427
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Country | US
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Telephone | 818-842-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 W KENNETH RD APT C
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City | GLENDALE
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State | CA
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Zip | 91202-1480
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | JULLIETTE JEWEL KESTENIAN
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Credential | OD
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Telephone | 818-484-6284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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