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General NPI Number Information
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NPI Number | 1114565397
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Entity Type | Individual
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Provider Name | RANDALL JAMES CARPIO JR.
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Gender | Male
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Dates
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Enumeration Date | 12/18/2019
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 205 CLARK PL SE
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City | TUMWATER
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State | WA
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Zip | 98501-4062
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Country | US
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Telephone | 360-570-0401
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Fax |
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Provider Business Mailing Address
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Address Line | 7345 164TH AVE NE # 145191
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City | REDMOND
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State | WA
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Zip | 98052-7846
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Country | US
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Telephone |
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 311
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT60958183
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License Number State | WA
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