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General NPI Number Information
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NPI Number | 1760667695
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Entity Type | Organization
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Legal Business Name | BARRY HUSE OD & ASSOCIATES PS
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Dates
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Enumeration Date | 01/09/2008
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Last Update Date | 03/12/2008
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Provider Practice Location Address
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Address Line | 2913 S 38TH ST SUITE B-3
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City | TACOMA
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State | WA
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Zip | 98409-5629
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Country | US
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Telephone | 253-473-1050
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Fax | 253-473-2338
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Provider Business Mailing Address
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Address Line | 2913 S 38TH ST SUITE B-3
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City | TACOMA
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State | WA
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Zip | 98409-5629
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Country | US
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Telephone | 253-473-1050
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Fax | 253-473-2338
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BARRY G HUSE
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Credential | OD
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Telephone | 253-473-1050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 1918
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License Number State | WA
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