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General NPI Number Information
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NPI Number | 1316119381
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Entity Type | Organization
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Legal Business Name | VANCOUVER EYE CARE, P.S.
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Dates
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Enumeration Date | 03/30/2008
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 505 NE 87TH AVE SUITE 100
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City | VANCOUVER
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State | WA
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Zip | 98664-1989
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Country | US
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Telephone | 360-256-3937
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Fax | 360-256-1904
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Provider Business Mailing Address
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Address Line | PO BOX 61896
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City | VANCOUVER
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State | WA
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Zip | 98666-1896
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Country | US
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Telephone | 360-823-2012
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Fax | 360-823-2260
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PAMELA JOY HUFFMAN
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Credential |
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Telephone | 360-823-2012
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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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