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General NPI Number Information
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NPI Number | 1740279595
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Entity Type | Individual
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Provider Name | GARY DANA LINTON OD
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Gender | Male
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 113 W PIONEER
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City | PUYALLUP
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State | WA
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Zip | 98371-5373
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Country | US
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Telephone | 253-845-8215
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Fax | 253-845-7030
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Provider Business Mailing Address
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Address Line | 113 W PIONEER PO BOX 1246
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City | PUYALLUP
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State | WA
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Zip | 98371-5373
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Country | US
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Telephone | 253-845-8215
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Fax | 253-845-7030
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | OD00001294
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License Number State | WA
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