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General NPI Number Information
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NPI Number | 1053519884
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Entity Type | Organization
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Legal Business Name | WASHINGTON EYE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 1717 RHODE ISLAND AVE NW SUITE 210
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City | WASHINGTON
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State | DC
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Zip | 20036-3023
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Country | US
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Telephone | 202-558-3824
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Fax | 202-558-7517
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Provider Business Mailing Address
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Address Line | 1717 RHODE ISLAND AVE NW SUITE 210
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City | WASHINGTON
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State | DC
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Zip | 20036-3023
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Country | US
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Telephone | 202-558-3824
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Fax | 202-558-7517
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN E LAMOTHE
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Credential | O.D.
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Telephone | 202-558-3824
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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 | OP1000037
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License Number State | DC
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