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General NPI Number Information
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NPI Number | 1427242981
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Entity Type | Organization
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Legal Business Name | STEVEN A. DAVIS. O.D., P.S.
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 16030 BOTHELL EVERETT HWY SUITE 100
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City | MILL CREEK
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State | WA
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Zip | 98012-1741
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Country | US
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Telephone | 425-338-7000
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Fax | 425-338-7814
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Provider Business Mailing Address
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Address Line | 16030 BOTHELL EVERETT HWY SUITE 100
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City | MILL CREEK
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State | WA
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Zip | 98012-1741
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Country | US
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Telephone | 425-338-7000
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Fax | 425-338-7814
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN ALLEN DAVIS
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Credential | O.D.
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Telephone | 425-338-7000
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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 | 00001979
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License Number State | WA
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