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General NPI Number Information
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NPI Number | 1720717200
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Entity Type | Organization
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Legal Business Name | KAINTH EYE CARE LLC
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 524 N MACLEOD AVE
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City | ARLINGTON
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State | WA
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Zip | 98223-1226
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Country | US
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Telephone | 813-310-9238
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Fax |
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Provider Business Mailing Address
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Address Line | 8414 50TH ST NE
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City | MARYSVILLE
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State | WA
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Zip | 98270-7587
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Country | US
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Telephone | 813-310-9238
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. KULVIR S KAINTH
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Credential | OD
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Telephone | 954-512-3296
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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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