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General NPI Number Information
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NPI Number | 1467886747
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Entity Type | Organization
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Legal Business Name | N. LIVINGSTON OPTOMETRY
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 15617 BEL RED RD SUITE A
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City | BELLEVUE
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State | WA
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Zip | 98008-2347
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Country | US
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Telephone | 425-558-9082
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Fax |
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Provider Business Mailing Address
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Address Line | 15617 BEL RED RD SUITE A
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City | BELLEVUE
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State | WA
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Zip | 98008-2347
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. NESSA LIVINGSTON
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Credential |
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Telephone | 907-301-7687
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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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