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General NPI Number Information
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NPI Number | 1376023358
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Entity Type | Individual
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Provider Name | CARLIE ROBIN MZIK DNP
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Gender | Female
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Dates
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Enumeration Date | 08/18/2018
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 10217 125TH STREET CT E # CE
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City | PUYALLUP
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State | WA
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Zip | 98374-2761
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Country | US
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Telephone | 253-864-4550
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Fax | 253-864-4558
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Provider Business Mailing Address
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Address Line | PO BOX 34703
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City | SEATTLE
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State | WA
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Zip | 98124-1703
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61321809
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License Number State | WA
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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 | AP61321809
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN61302455
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 244752
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License Number State | SC
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