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General NPI Number Information
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NPI Number | 1174965230
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Entity Type | Organization
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Legal Business Name | GIM SERVICES PLLC
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Dates
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Enumeration Date | 07/18/2013
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 201 S SUNNYSIDE AVE STE 207
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City | SEQUIM
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State | WA
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Zip | 98382-3808
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Country | US
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Telephone | 360-775-3515
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Fax | 855-919-5976
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Provider Business Mailing Address
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Address Line | PO BOX 145
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City | SEQUIM
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State | WA
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Zip | 98382-4302
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Country | US
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Telephone | 360-775-3515
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Fax | 855-919-5976
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE MATHEW
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Credential | MD, PHD
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Telephone | 360-775-3515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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