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General NPI Number Information
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NPI Number | 1922313345
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Entity Type | Individual
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Provider Name | SAVATEI SUSAN SEA O.D
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Gender | Female
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Dates
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Enumeration Date | 08/10/2010
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 2448 76TH AVE SE STE 106
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2782
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Country | US
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Telephone | 206-232-1633
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Fax | 206-232-2502
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Provider Business Mailing Address
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Address Line | 2448 76TH AVE SE STE 106
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City | MERCER ISLAND
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State | WA
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Zip | 98040-2782
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Country | US
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Telephone | 206-940-0723
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Fax | 206-232-2502
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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 | 60155816
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License Number State | WA
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