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General NPI Number Information
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NPI Number | 1629691431
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Entity Type | Individual
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Provider Name | ARIEL A LENNING OD
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Gender | Female
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Dates
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Enumeration Date | 05/27/2020
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 12728 19TH AVE SE STE 102
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City | EVERETT
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State | WA
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Zip | 98208-6676
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Country | US
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Telephone | 425-353-5544
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Fax | 206-350-5544
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Provider Business Mailing Address
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Address Line | 12728 19TH AVE SE STE 102
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City | EVERETT
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State | WA
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Zip | 98208-6676
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Country | US
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Telephone | 425-353-5544
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Fax | 206-350-5544
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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 | OD61074930
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License Number State | WA
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