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General NPI Number Information
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NPI Number | 1538345269
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Entity Type | Organization
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Legal Business Name | APPLE EYECARE PC
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Dates
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Enumeration Date | 01/11/2008
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 10709 WALTON ROAD
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City | ISLAND CITY
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State | OR
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Zip | 97850
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Country | US
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Telephone | 541-962-7753
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Fax | 541-963-0750
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Provider Business Mailing Address
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Address Line | 10709 WALTON ROAD
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City | ISLAND CITY
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State | OR
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Zip | 97850
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Country | US
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Telephone | 541-962-7753
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Fax | 541-963-0750
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | BARBARA A BECKNER
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Credential |
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Telephone | 541-962-7753
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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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