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General NPI Number Information
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NPI Number | 1114474574
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Entity Type | Organization
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Legal Business Name | COSTCO WHOLESALE CORPORATION
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Dates
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Enumeration Date | 09/02/2016
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 2225 GRAND CYPRESS DRIVE
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City | LUTZ
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State | FL
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Zip | 33559
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Country | US
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Telephone | 813-279-7031
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34300
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City | SEATTLE
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State | WA
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Zip | 98124-1300
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AVP OPTICAL
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Name | ART SALAS
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Credential |
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Telephone | 813-279-7031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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