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General NPI Number Information
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NPI Number | 1295151264
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Entity Type | Organization
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Legal Business Name | DR. DANA KINDBERG AND ASSOCIATES
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 400 URBAN PLZ STE E-110
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City | KIRKLAND
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State | WA
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Zip | 98033-5368
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Country | US
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Telephone | 425-403-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 400 URBAN PLZ STE E-110
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City | KIRKLAND
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State | WA
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Zip | 98033-5368
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Country | US
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Telephone | 425-403-2020
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANA KINDBERG
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Credential | O.D.
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Telephone | 206-437-8889
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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 | 60175555
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License Number State | WA
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