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General NPI Number Information
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NPI Number | 1780997577
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Entity Type | Individual
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Provider Name | ANNE ENG O.D
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Gender | Female
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Dates
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Enumeration Date | 07/21/2010
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Last Update Date | 07/21/2010
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Provider Practice Location Address
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Address Line | 9720 4TH AVE NE GROUP HEALTH NORTHGATE
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City | SEATTLE
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State | WA
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Zip | 98115
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Country | US
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Telephone | 206-527-7132
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Fax |
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Provider Business Mailing Address
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Address Line | 307 NE THORNTON PL UNIT #336
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City | SEATTLE
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State | WA
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Zip | 98125-8034
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Country | US
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Telephone | 312-399-7408
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Fax |
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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 | OD60163224
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License Number State | WA
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