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Individual
KAREN TADE
Active
Individual
KAREN TADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO00000817
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024454
—
WA
Enumeration date
10/17/2006
Last updated
11/04/2011
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