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General NPI Number Information
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NPI Number | 1912801481
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Entity Type | Organization
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Legal Business Name | SILVERCARE MEDICAL GROUP LLC
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 7808 PACIFIC AVE STE 7
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City | TACOMA
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State | WA
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Zip | 98408-7039
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Country | US
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Telephone | 425-443-8687
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Fax | 425-200-0646
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Provider Business Mailing Address
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Address Line | 7808 PACIFIC AVE STE 7
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City | TACOMA
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State | WA
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Zip | 98408-7039
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Country | US
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Telephone | 425-443-8687
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Fax | 425-200-0646
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. MARY A GUMBO
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Credential | DNP, ARNP, AGNP-C
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Telephone | 425-443-8687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State | NULL
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