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General NPI Number Information
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NPI Number | 1922635887
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Entity Type | Organization
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Legal Business Name | CASCADE NURSE PRACTITIONERS
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Dates
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Enumeration Date | 03/23/2020
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 2201 S 19TH ST
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City | TACOMA
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State | WA
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Zip | 98405-2962
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Country | US
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Telephone | 253-433-0910
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Fax | 253-242-1958
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Provider Business Mailing Address
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Address Line | 5409 100TH ST SW UNIT 39800
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City | LAKEWOOD
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State | WA
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Zip | 98496-0970
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Country | US
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Telephone | 253-433-0910
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Fax | 253-242-1958
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | LOCKY KAMAU
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Credential |
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Telephone | 253-433-0910
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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 |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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