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General NPI Number Information
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NPI Number | 1609157460
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Entity Type | Organization
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Legal Business Name | OVERLAKE EYE DESIGNS, P.C.
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 15253 N.E. 40TH ST., BUILDING 98, S. SUBMIXER
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City | REDMOND
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State | WA
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Zip | 98052
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Country | US
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Telephone | 425-497-9400
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Fax | 425-497-0219
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Provider Business Mailing Address
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Address Line | 15101 NE 40TH ST. SUBMIXER / 1023 B / 1 MICROSOFT WAY
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City | REDMOND
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State | WA
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Zip | 98052
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Country | US
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Telephone | 425-497-9400
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Fax | 425-497-0219
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Authorized Official
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Title or Position | SECRETARY
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Name | DR. BESSIE M PIAN
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Credential | O.D.
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Telephone | 425-260-6747
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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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