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Individual
DR. HAROLD L. BIRCUMSHAW
Active
Individual
DR. HAROLD L. BIRCUMSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1349
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1203680
DSHS VENDOR
WA
01
—
209-783
OFFICE OF DISABILITY INSURANCE
WA
01
—
2264
DAVIS VISION
WA
01
—
4595135
EPDB
WA
01
—
482,107-02
L & I WORKERS COMP
WA
01
—
61722
SPECTERA
WA
01
—
BI 0008
REGENCE BLUE SHIELD
WA
01
—
G8878811
MEDICARE PTAN
WA
01
—
WA0179
NBN
WA
Enumeration date
07/18/2006
Last updated
04/03/2012
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