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General NPI Number Information
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NPI Number | 1013240688
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Entity Type | Individual
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Provider Name | TABITHA E COX PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/14/2009
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 218 UNDERCLIFF TER
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City | PRINCETON
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State | WV
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Zip | 24740-2176
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Country | US
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Telephone | 304-327-1890
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Fax | 304-325-1908
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Provider Business Mailing Address
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Address Line | 218 UNDERCLIFF TER
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City | PRINCETON
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State | WV
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Zip | 24740-2176
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Country | US
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Telephone | 304-327-1890
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Fax | 304-325-1908
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 475
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2091
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License Number State | WV
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