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General NPI Number Information
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NPI Number | 1487462180
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Entity Type | Organization
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Legal Business Name | ALDERWOOD VISION THERAPY AND DEVELOPMENT PLLC
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 16006 ASH WAY STE 101
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City | LYNNWOOD
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State | WA
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Zip | 98087-6352
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Country | US
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Telephone | 425-787-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 16006 ASH WAY STE 101
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City | LYNNWOOD
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State | WA
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Zip | 98087-6352
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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 | OWNER
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Name | CHRISTINA SCHILLER
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Credential | OD
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Telephone | 425-787-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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