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General NPI Number Information
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NPI Number | 1942226477
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Entity Type | Individual
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Provider Name | AMY MITSUKO POSTMA O. D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9040 FITZSIMMONS DR
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City | TACOMA
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State | WA
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Zip | 98431-1000
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Country | US
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Telephone | 253-966-7480
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Fax |
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Provider Business Mailing Address
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Address Line | 8806 53RD STREET CT W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-1748
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Country | US
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Telephone | 253-566-1048
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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 | 157
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License Number State | HI
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