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General NPI Number Information
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NPI Number | 1194095752
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Entity Type | Organization
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Legal Business Name | WASHINGTON EYE CARE PLLC
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Dates
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Enumeration Date | 01/12/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 12600 SE 38TH ST SUITE 108
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City | BELLEVUE
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State | WA
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Zip | 98006-6105
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Country | US
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Telephone | 425-298-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 12600 SE 38TH ST SUITE 108
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City | BELLEVUE
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State | WA
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Zip | 98006-6105
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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 | OPHTHALMOLOGIST
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Name | BENSON CHEN
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Credential | M.D.
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Telephone | 206-498-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD00047239
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License Number State | WA
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