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General NPI Number Information
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NPI Number | 1477446417
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Entity Type | Organization
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Legal Business Name | GIG HARBOR MEDICAL SPA
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 11515 BURNHAM DR STE 105
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City | GIG HARBOR
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State | WA
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Zip | 98332-8543
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Country | US
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Telephone | 253-649-3916
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Fax | 253-265-1219
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Provider Business Mailing Address
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Address Line | 11357 70TH AVE NW
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City | GIG HARBOR
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State | WA
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Zip | 98332-8073
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Country | US
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Telephone | 253-649-3916
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Fax | 253-265-1219
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Authorized Official
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Title or Position | OWNER
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Name | SHARON LEMOINE
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Credential | ARNP-FNP
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Telephone | 253-649-3916
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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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