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NPI 1598376543

NPI 1598376543 : GRIFFITH SAYLES, OD, P.C. : BURLINGTON, WA

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General NPI Number Information
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    NPI Number           |    1598376543
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    Entity Type          |    Organization 
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    Legal Business Name  |    GRIFFITH SAYLES, OD, P.C. 
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Dates
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    Enumeration Date     |    08/13/2020
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    Last Update Date     |    08/13/2020
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Provider Practice Location Address
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    Address Line         |    1725 S BURLINGTON BLVD 
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    City                 |    BURLINGTON
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    State                |    WA
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    Zip                  |    98233-3223
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    Country              |    US
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    Telephone            |    360-757-5701
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2332 CROSBY DR 
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    City                 |    MOUNT VERNON
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    State                |    WA
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    Zip                  |    98274-9011
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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    |    CEO
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    Name                 |     GRIFFITH  SAYLES 
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    Credential           |    
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    Telephone            |    360-757-5701
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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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