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General NPI Number Information
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NPI Number | 1780673996
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Entity Type | Individual
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Provider Name | BARBARA HOLZKNECHT BRISCOE O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 22400 S SALAMO RD
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City | WEST LINN
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State | OR
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Zip | 97068-8269
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Country | US
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Telephone | 503-722-7737
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Fax | 503-722-4152
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Provider Business Mailing Address
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Address Line | 3985 S ROXBURY DR
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City | WEST LINN
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State | OR
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Zip | 97068-8296
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Country | US
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Telephone | 503-656-1947
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Fax | 503-656-1947
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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 | 3009AT
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License Number State | OR
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