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General NPI Number Information
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NPI Number | 1962586693
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Entity Type | Organization
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Legal Business Name | PARKLAND EYE & VISION CLINIC, PLLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 05/30/2022
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Provider Practice Location Address
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Address Line | 112 131ST ST S
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City | TACOMA
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State | WA
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Zip | 98444-4804
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Country | US
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Telephone | 253-537-7544
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Fax | 253-535-4888
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Provider Business Mailing Address
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Address Line | 112 131ST ST S
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City | TACOMA
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State | WA
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Zip | 98444-4804
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Country | US
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Telephone | 253-537-7544
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Fax | 253-535-4888
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL WILLIAMS
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Credential | OD
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Telephone | 253-537-7544
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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 | OD00003435
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License Number State | WA
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