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General NPI Number Information
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NPI Number | 1710775630
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Entity Type | Organization
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Legal Business Name | JINOUS FERDOSIAN LLC
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1400 164TH ST SW
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City | LYNNWOOD
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State | WA
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Zip | 98087-8515
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Country | US
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Telephone | 425-741-8856
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Fax |
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Provider Business Mailing Address
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Address Line | 11017 111TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98033-5002
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Country | US
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Telephone | 949-636-3938
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Fax | 949-636-3938
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. JINOUS FERDOSIAN
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Credential | OD
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Telephone | 949-636-3938
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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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