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General NPI Number Information
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NPI Number | 1528553450
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Entity Type | Individual
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Provider Name | AMBER M CUMINGS OD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2018
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 17130 AVONDALE WAY NE STE 111
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City | REDMOND
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State | WA
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Zip | 98052-4455
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Country | US
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Telephone | 425-885-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 12333 NE 130TH LN STE 440
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City | KIRKLAND
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State | WA
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Zip | 98034-7467
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Country | US
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Telephone | 425-885-6600
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Fax | 425-885-6580
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 60855608
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | OD60855608
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License Number State | WA
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