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General NPI Number Information
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NPI Number | 1275157315
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Entity Type | Individual
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Provider Name | ABBY LYNNE CAHILL PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 2900 ACME BRICK PLZ
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City | FORT WORTH
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State | TX
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Zip | 76109-4123
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Country | US
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Telephone | 817-871-9069
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Fax |
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Provider Business Mailing Address
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Address Line | 220 E BROADWAY AVE APT 1237
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City | FORT WORTH
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State | TX
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Zip | 76104-1370
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Country | US
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Telephone | 504-259-4211
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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 | PA13732
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License Number State | TX
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