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General NPI Number Information
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NPI Number | 1750902284
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Entity Type | Individual
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Provider Name | CAROL GIJIMA ARNP
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Gender | Female
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 33455 6TH AVE S STE 2C
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City | FEDERAL WAY
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State | WA
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Zip | 98003-6074
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Country | US
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Telephone | 253-367-0502
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Fax |
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Provider Business Mailing Address
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Address Line | 19932 20TH AVENUE CT E
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City | SPANAWAY
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State | WA
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Zip | 98387-4108
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Country | US
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Telephone | 253-217-7667
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP.AP.70163790-NP
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN60400511
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License Number State | WA
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