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General NPI Number Information
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NPI Number | 1104220458
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Entity Type | Organization
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Legal Business Name | DR. CROWELL, DR. NGUYEN & ASSOCIATES, PLLC
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 2938 NE SUNSET BLVD
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City | RENTON
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State | WA
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Zip | 98056
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Country | US
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Telephone | 425-276-0670
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Fax | 425-276-0677
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Provider Business Mailing Address
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Address Line | 756 ORCAS AVE NE
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City | RENTON
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State | WA
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Zip | 98059-6347
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Country | US
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Telephone | 425-276-0670
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Fax | 425-276-0677
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Authorized Official
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Title or Position | OWNER
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Name | DR. BENJAMIN DAVID CROWELL
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Credential | OD, FAAO
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Telephone | 425-276-0670
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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 | OD 60239366
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License Number State | WA
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