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General NPI Number Information
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NPI Number | 1396819116
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Entity Type | Organization
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Legal Business Name | SEATTLE EYECARE CENTER LLC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 999 3RD AVE 2ND AVE PLAZA
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City | SEATTLE
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State | WA
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Zip | 98104-4019
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Country | US
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Telephone | 206-682-2020
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Fax | 206-332-0700
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Provider Business Mailing Address
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Address Line | 999 3RD AVE 2ND PLAZA
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 206-682-2020
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Fax | 206-332-0700
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL S MCCOWN
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Credential | OD
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Telephone | 206-682-2020
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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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