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General NPI Number Information
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NPI Number | 1235103789
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Entity Type | Individual
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Provider Name | FREDERICK SATKOWIAK OD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 03/02/2019
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Provider Practice Location Address
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Address Line | 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431-8568
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Country | US
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Telephone | 253-968-2798
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Fax |
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Provider Business Mailing Address
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Address Line | 10916 65TH AVE NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-8568
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Country | US
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Telephone | 253-852-8787
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 60385557
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OEG1990
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License Number State | PA
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