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General NPI Number Information
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NPI Number | 1982590709
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Entity Type | Organization
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Legal Business Name | JN OPTICS, LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1605 COUNTY ROAD C W
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City | ROSEVILLE
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State | MN
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Zip | 55113-1302
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Country | US
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Telephone | 651-631-8112
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Fax | 612-455-6733
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Provider Business Mailing Address
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Address Line | 1411 4TH ST SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-2001
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Country | US
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Telephone | 763-258-4781
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Fax | 612-455-6733
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NICOLE DAVIS
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Credential |
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Telephone | 763-258-4781
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 156FX1800X
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Taxonomy Name | Optician
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License Number |
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License Number State |
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