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General NPI Number Information
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NPI Number | 1164670790
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Entity Type | Organization
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Legal Business Name | SALMON CREEK VISION CENTRE, PLLC
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Dates
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Enumeration Date | 09/08/2008
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 14201 NE 20TH AVE STE A102
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City | VANCOUVER
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State | WA
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Zip | 98686-6411
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Country | US
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Telephone | 360-574-6030
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Fax | 360-574-4116
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Provider Business Mailing Address
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Address Line | 14201 NE 20TH AVE STE A102
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City | VANCOUVER
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State | WA
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Zip | 98686-6411
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Country | US
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Telephone | 360-574-6030
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Fax | 360-574-4116
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Authorized Official
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Title or Position | BUSINESS PARTNER/OWNER, OPTOMETRIST
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Name | DR. JANNA D SCOFIELD
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Credential | O.D.
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Telephone | 360-574-6030
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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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