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NPI 1770516403

NPI 1770516403 : STANTON JAMES SESSIONS O.D. : MONROE, WA

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General NPI Number Information
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    NPI Number           |    1770516403
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    Entity Type          |    Individual 
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    Provider Name        |    STANTON JAMES SESSIONS O.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/08/2006
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    14841 179TH AVE SE SUITE 110
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    City                 |    MONROE
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    State                |    WA
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    Zip                  |    98272-1127
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    Country              |    US
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    Telephone            |    360-794-2020
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    Fax                  |    360-794-7631
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Provider Business Mailing Address
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    Address Line         |    14841 179TH AVE SE SUITE 110
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    City                 |    MONROE
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    State                |    WA
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    Zip                  |    98272-1127
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    Country              |    US
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    Telephone            |    360-794-2020
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    Fax                  |    360-794-7631
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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       |    3348 TX
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    License Number State |    WA
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Taxonomy #2
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    368927-9934
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    License Number State |    UT
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