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General NPI Number Information
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NPI Number | 1386592673
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Entity Type | Individual
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Provider Name | CAROLINE W GAKURU
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Gender | Female
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 13823 72ND AVE E
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City | PUYALLUP
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State | WA
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Zip | 98373-5392
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Country | US
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Telephone | 253-302-4698
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Fax | 253-844-4858
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Provider Business Mailing Address
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Address Line | 13823 72ND AVE E
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City | PUYALLUP
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State | WA
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Zip | 98373-5392
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Country | US
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Telephone | 253-302-4698
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Fax | 253-844-4858
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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 | 311Z00000X
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Taxonomy Name | Custodial Care Facility
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License Number |
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License Number State |
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