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General NPI Number Information
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NPI Number | 1477024008
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Entity Type | Organization
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Legal Business Name | VISION PLUS BURLINGTON, PLLC
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Dates
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Enumeration Date | 12/07/2018
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 855 S ALDER ST STE A
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City | BURLINGTON
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State | WA
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Zip | 98233-2808
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Country | US
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Telephone | 360-755-9211
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Fax | 360-755-0501
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Provider Business Mailing Address
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Address Line | 855 S ALDER ST STE A
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City | BURLINGTON
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State | WA
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Zip | 98233-2808
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Country | US
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Telephone | 360-755-9211
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Fax | 360-755-0501
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DARCY WEEKS
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Credential |
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Telephone | 360-746-0970
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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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