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General NPI Number Information
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NPI Number | 1346111747
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Entity Type | Organization
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Legal Business Name | GOJO 1 PLLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1976 E BASELINE RD STE 101
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City | TEMPE
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State | AZ
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Zip | 85283-1533
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Country | US
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Telephone | 480-907-8304
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Fax |
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Provider Business Mailing Address
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Address Line | 647 W PRINCETON AVE
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City | GILBERT
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State | AZ
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Zip | 85233-3225
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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 | OWNER/MEMBER
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Name | GAYRENE OCUAMAN
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Credential | FNP-C, FNP-BC
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Telephone | 480-907-8304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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