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General NPI Number Information
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NPI Number | 1063329894
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Entity Type | Individual
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Provider Name | MICHAELA MONK PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/26/2026
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Last Update Date | 08/26/2026
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Provider Practice Location Address
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Address Line | 146 HWY 64 E
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City | HAYESVILLE
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State | NC
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Zip | 28904-7300
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Country | US
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Telephone | 828-389-3608
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Fax |
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Provider Business Mailing Address
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Address Line | 141 MASTERS CT
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City | BRISTOL
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State | VA
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Zip | 24202-3491
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Country | US
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Telephone | 276-591-6802
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-16971
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License Number State | NC
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