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General NPI Number Information
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NPI Number | 1093389983
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Entity Type | Individual
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Provider Name | ERIN JENSEN STOLWORTHY PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 27500 168TH PL SE
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City | COVINGTON
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State | WA
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Zip | 98042-5563
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Country | US
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Telephone | 425-690-3430
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Fax | 425-690-9430
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Provider Business Mailing Address
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Address Line | 27500 168TH PL SE
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City | COVINGTON
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State | WA
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Zip | 98042-5563
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Country | US
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Telephone | 425-690-3430
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Fax | 425-690-9430
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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 | PA61602552
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA213590
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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