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General NPI Number Information
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NPI Number | 1871871558
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Entity Type | Organization
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Legal Business Name | LEVI ZURCHER, PS
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Dates
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Enumeration Date | 07/28/2011
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Last Update Date | 03/28/2018
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Provider Practice Location Address
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Address Line | 406 LILLY RD NE STE A
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City | OLYMPIA
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State | WA
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Zip | 98506-5118
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Country | US
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Telephone | 360-491-2121
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Fax | 360-459-1097
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Provider Business Mailing Address
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Address Line | 400 YAUGER WAY SW STE A
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City | OLYMPIA
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State | WA
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Zip | 98502-8140
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Country | US
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Telephone | 360-491-2121
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Fax | 360-459-1097
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Authorized Official
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Title or Position | OPTICIAN
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Name | CHARLOTTE ROBERTS
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Credential | LDO, ABO
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Telephone | 360-491-2121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number | 603112974
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 603112974
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 603112974
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 603112974
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License Number State | WA
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