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General NPI Number Information
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NPI Number | 1831424928
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Entity Type | Individual
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Provider Name | AARON CRAIN
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Gender | Male
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 09/12/2012
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Provider Practice Location Address
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Address Line | 921 HARVEY ROAD, SUITE A
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City | AUBURN
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State | WA
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Zip | 98002
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Country | US
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Telephone | 253-833-2767
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6543
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City | BELLEVUE
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State | WA
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Zip | 98008
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Country | US
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Telephone | 425-443-9211
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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 | OD 60229210
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License Number State | WA
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