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General NPI Number Information
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NPI Number | 1740412105
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Entity Type | Organization
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Legal Business Name | BRITTAIN EYE CARE, PS
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Dates
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Enumeration Date | 08/19/2009
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 7017 NE HIGHWAY 99 STE. 202
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City | VANCOUVER
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State | WA
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Zip | 98665-0555
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Country | US
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Telephone | 360-694-0760
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Fax | 360-694-1091
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Provider Business Mailing Address
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Address Line | 7017 NE HIGHWAY 99 STE. 202
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City | VANCOUVER
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State | WA
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Zip | 98665-0555
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Country | US
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Telephone | 360-694-0760
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Fax | 360-694-1091
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHAWN PHILIP BRITTAIN
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Credential | O.D
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Telephone | 360-694-0760
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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 | 3536
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License Number State | WA
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