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General NPI Number Information
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NPI Number | 1457376691
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Entity Type | Individual
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Provider Name | MATTHEW PEARCE OD, MPH
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 5656 HOOD ST STE 107
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City | WEST LINN
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State | OR
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Zip | 97068-3279
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Country | US
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Telephone | 503-723-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 5656 HOOD ST STE 107
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City | WEST LINN
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State | OR
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Zip | 97068-3279
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Country | US
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Telephone | 503-723-3000
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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 | 2896AT
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License Number State | OR
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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 | OD00002202
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License Number State | WA
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