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NPI 1295577286

NPI 1295577286 : NAVY PAIGE HYMAS : GEARHART, OR

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General NPI Number Information
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    NPI Number           |    1295577286
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    Entity Type          |    Individual 
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    Provider Name        |    NAVY PAIGE HYMAS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/10/2024
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    Last Update Date     |    10/17/2025
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Provider Practice Location Address
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    Address Line         |    3619 US-101 N. 
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    City                 |    GEARHART
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    State                |    OR
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    Zip                  |    97138
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    Country              |    US
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    Telephone            |    503-994-1910
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    Fax                  |    541-210-8913
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Provider Business Mailing Address
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    Address Line         |    1825 E 19TH ST. THE DALLES 
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    City                 |    THE DALLES
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    State                |    OR
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    Zip                  |    97058
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    Country              |    US
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    Telephone            |    541-316-6575
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    Fax                  |    541-210-8913
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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       |    PA227806
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    License Number State |    OR
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