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General NPI Number Information
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NPI Number | 1700791043
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Entity Type | Organization
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Legal Business Name | MICHAEL J FLEMING OD LLC
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 521 SR 9 NE
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City | LAKE STEVENS
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State | WA
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Zip | 98258
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Country | US
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Telephone | 425-923-6015
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Fax |
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Provider Business Mailing Address
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Address Line | 521 SR 9 NE BOX 1-14
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City | LAKE STEVENS
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State | WA
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Zip | 98258
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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 | ADMINISTRATOR
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Name | GAYLE LAMOND
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Credential |
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Telephone | 253-421-1958
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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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