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General NPI Number Information
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NPI Number | 1255411260
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Entity Type | Organization
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Legal Business Name | KOSNOSKI EYE CARE INC
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 604 E MAIN ST
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City | AUBURN
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State | WA
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Zip | 98002-5602
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Country | US
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Telephone | 253-833-6060
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Fax | 253-833-3591
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Provider Business Mailing Address
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Address Line | 10002 SE 240TH ST
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City | KENT
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State | WA
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Zip | 98031-4839
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Country | US
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Telephone | 253-852-2020
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Fax | 253-854-2020
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Authorized Official
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Title or Position | OWNER
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Name | EDWARD M KOSNOSKI
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Credential | OD
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Telephone | 253-852-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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