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General NPI Number Information
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NPI Number | 1922957562
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Entity Type | Individual
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Provider Name | CAROLYN MARIE WARRICK DDIV, ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 22751 E APPLEWAY AVE # D11
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-8511
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Country | US
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Telephone | 509-924-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 1324 N LIBERTY LAKE RD # 276
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City | LIBERTY LAKE
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State | WA
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Zip | 99019-8523
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Country | US
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Telephone | 509-924-6161
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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 | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number | AP70085480
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License Number State | WA
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