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General NPI Number Information
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NPI Number | 1790744639
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Entity Type | Organization
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Legal Business Name | FIGGS EYE CLINIC, P.C.
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Dates
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Enumeration Date | 03/20/2006
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Last Update Date | 11/30/2010
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Provider Practice Location Address
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Address Line | 1410 LAKESIDE CT STE 103
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City | YAKIMA
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State | WA
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Zip | 98902-7305
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Country | US
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Telephone | 509-453-2010
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Fax | 509-225-6421
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Provider Business Mailing Address
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Address Line | 1410 LAKESIDE CT STE 103
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City | YAKIMA
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State | WA
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Zip | 98902-7305
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Country | US
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Telephone | 509-453-2010
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Fax | 509-225-6421
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. LEO FIGGS
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Credential | D.O.
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Telephone | 509-453-2010
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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 | OD00003392
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OP00000819
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License Number State | WA
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