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General NPI Number Information
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NPI Number | 1831023944
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Entity Type | Individual
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Provider Name | LUKE ANDREW BRINTON OD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2026
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Last Update Date | 06/12/2026
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Provider Practice Location Address
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Address Line | 6375 ULALI DR NE
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City | KEIZER
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State | OR
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Zip | 97303-1697
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Country | US
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Telephone | 503-428-5096
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Fax |
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Provider Business Mailing Address
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Address Line | 1433 NE ALEX WAY APT 341
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City | HILLSBORO
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State | OR
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Zip | 97124-8608
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Country | US
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Telephone | 208-870-2953
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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 | AT4828
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License Number State | OR
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