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General NPI Number Information
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NPI Number | 1891380507
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Entity Type | Organization
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Legal Business Name | NATIONAL EYECARE ASSOCIATES, PLLC
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Dates
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Enumeration Date | 03/04/2021
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Last Update Date | 03/04/2021
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Provider Practice Location Address
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Address Line | 1145 10TH AVE E UNIT 217
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City | SEATTLE
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State | WA
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Zip | 98102-4083
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Country | US
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Telephone | 415-515-1421
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 10TH AVE E UNIT 217
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City | SEATTLE
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State | WA
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Zip | 98102-4083
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Country | US
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Telephone | 415-515-1421
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Fax |
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Authorized Official
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Title or Position | OWNER/ OPTOMETRIST
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Name | DR. SCOTT M SEABURG
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Credential | OD
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Telephone | 415-515-1421
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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 |
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License Number State |
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