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General NPI Number Information
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NPI Number | 1114748126
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Entity Type | Individual
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Provider Name | LESLIE Q. HORITA PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 12911 120TH AVE NE STE H210
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City | KIRKLAND
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State | WA
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Zip | 98034-3065
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Country | US
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Telephone | 425-823-4000
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Fax | 425-821-3550
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Provider Business Mailing Address
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Address Line | 12911 120TH AVE NE STE G10
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City | KIRKLAND
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State | WA
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Zip | 98034-3048
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Country | US
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Telephone | 425-823-4000
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Fax | 425-821-3550
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA61627574
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License Number State | WA
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