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NPI 1124720107

NPI 1124720107 : AUDREY LEIGH PILKINGTON PA-C : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1124720107
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    Entity Type          |    Individual 
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    Provider Name        |    AUDREY LEIGH PILKINGTON PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/21/2023
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    12255 UNIVERSITY DRIVE 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75035
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    Country              |    US
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    Telephone            |    972-542-4646
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    Fax                  |    972-542-0909
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Provider Business Mailing Address
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    Address Line         |    12255 UNIVERSITY DRIVE 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75035
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    Country              |    US
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    Telephone            |    972-542-4646
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    Fax                  |    972-542-0909
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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       |    PA-1169
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    License Number State |    AR
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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       |    PA17997
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    License Number State |    TX
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