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General NPI Number Information
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NPI Number | 1114381449
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Entity Type | Individual
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Provider Name | COURTNEY MISHLER PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 715 E KING ST # A
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City | SEAFORD
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State | DE
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Zip | 19973-3505
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Country | US
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Telephone | 302-628-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 SWEETBAY DR # 1
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City | SALISBURY
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State | MD
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Zip | 21804-1664
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Country | US
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Telephone | 410-546-4427
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C5-0012359
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License Number State | DE
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