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General NPI Number Information
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NPI Number | 1134605991
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Entity Type | Individual
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Provider Name | ABIGAIL T BOLLINGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/16/2018
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Last Update Date | 07/16/2018
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Provider Practice Location Address
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Address Line | 5115 CENTRE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15232-1301
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Country | US
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Telephone | 412-647-2811
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Fax |
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Provider Business Mailing Address
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Address Line | 2120 ROBBINS STATION RD
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City | NORTH HUNTINGDON
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State | PA
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Zip | 15642-2857
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Country | US
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Telephone | 724-516-0991
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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 | MA059869
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License Number State | PA
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