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General NPI Number Information
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NPI Number | 1720923055
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Entity Type | Organization
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Legal Business Name | ISSAQUAH FAMILY EYECARE, PC
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 1801 10TH AVE NW
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City | ISSAQUAH
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State | WA
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Zip | 98027-5384
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Country | US
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Telephone | 425-369-6726
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Fax | 425-369-6760
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Provider Business Mailing Address
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Address Line | 11288 SE 56TH PL
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City | BELLEVUE
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State | WA
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Zip | 98006-3333
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Country | US
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Telephone | 206-818-9320
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Fax |
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Authorized Official
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Title or Position | OD/OWNER
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Name | DR. THANH HA PHAM
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Credential | OD
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Telephone | 206-818-9320
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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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