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General NPI Number Information
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NPI Number | 1821575705
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Entity Type | Organization
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Legal Business Name | PACIFIC COAST EYECARE P.S.
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 6004 WESTGATE BLVD STE 180
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City | TACOMA
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State | WA
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Zip | 98406-2503
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Country | US
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Telephone | 253-312-8890
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Fax |
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Provider Business Mailing Address
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Address Line | 2661 N PEARL ST # 432
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City | TACOMA
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State | WA
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Zip | 98407-2424
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Country | US
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Telephone | 253-220-2563
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE W MEERS
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Credential | OD
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Telephone | 253-220-2563
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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 | OD4039TX
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License Number State | WA
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