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General NPI Number Information
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NPI Number | 1649174392
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Entity Type | Individual
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Provider Name | CHICARA JOHNSON RN
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Gender | Female
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 9059 GARDNER LOOP RD TACOMA, WASHINGTON
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City | FPO
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State | AA
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Zip | 98433
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Country | US
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Telephone | 253-312-0338
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Fax | 253-966-6833
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Provider Business Mailing Address
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Address Line | 1507 FARINA LOOP SE
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City | OLYMPIA
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State | WA
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Zip | 98513-9442
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | RN9608782
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License Number State | FL
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