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General NPI Number Information
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NPI Number | 1437480456
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Entity Type | Organization
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Legal Business Name | VANESSA MICHEL PLLC
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Dates
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Enumeration Date | 01/15/2010
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 23535 NE NOVELTY HILL RD D302
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City | REDMOND
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State | WA
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Zip | 98053-5502
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Country | US
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Telephone | 425-898-9222
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Fax | 425-898-9225
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Provider Business Mailing Address
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Address Line | 23535 NE NOVELTY HILL RD D302
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City | REDMOND
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State | WA
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Zip | 98053-5502
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Country | US
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Telephone | 425-898-9222
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Fax | 425-898-9225
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. VANESSA G MICHEL
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Credential | O.D.
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Telephone | 425-898-9222
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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 | 3908
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License Number State | WA
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