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General NPI Number Information
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NPI Number | 1992054522
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Entity Type | Organization
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Legal Business Name | OIKOS EYE CARE, INC.
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Dates
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Enumeration Date | 08/29/2012
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Last Update Date | 08/29/2012
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Provider Practice Location Address
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Address Line | 1201 39TH AVE SW LOCATED INSIDE COSTCO
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City | PUYALLUP
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State | WA
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Zip | 98373
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Country | US
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Telephone | 253-445-7541
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Fax |
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Provider Business Mailing Address
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Address Line | 26229 125TH PL SE
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City | KENT
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State | WA
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Zip | 98030
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Country | US
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Telephone | 312-933-0078
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD LEUNG
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Credential | O.D.
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Telephone | 312-933-0078
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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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