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General NPI Number Information
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NPI Number | 1285220541
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Entity Type | Organization
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Legal Business Name | NORTHWEST FAMILY EYE CARE PLLC
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 04/01/2023
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Provider Practice Location Address
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Address Line | 225 LOGAN AVE S STE 50
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City | RENTON
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State | WA
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Zip | 98057-2079
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Country | US
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Telephone | 425-226-3444
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Fax |
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Provider Business Mailing Address
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Address Line | 15512 SE 255TH ST
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City | COVINGTON
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State | WA
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Zip | 98042-4190
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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 | GURPINDERJEET KAUR
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Credential | OD
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Telephone | 440-570-3694
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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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