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General NPI Number Information
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NPI Number | 1144819053
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Entity Type | Individual
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Provider Name | ABIGAIL NICOLE BEHRENS PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 211 STATE STREET UNIT C
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City | BELCHERTOWN
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State | MA
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Zip | 01007
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Country | US
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Telephone | 413-725-4214
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Fax | 413-277-6087
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Provider Business Mailing Address
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Address Line | 211 STATE STREET UNIT C
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City | BELCHERTOWN
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State | MA
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Zip | 01007
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA8771
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License Number State | MA
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