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NPI 1346626207

NPI 1346626207 : ABIGAIL SCHWEPKER PA-C : MARYSVILLE, WA

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General NPI Number Information
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    NPI Number           |    1346626207
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    Entity Type          |    Individual 
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    Provider Name        |    ABIGAIL SCHWEPKER PA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/03/2015
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    Last Update Date     |    10/21/2024
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Provider Practice Location Address
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    Address Line         |    2901 174TH ST NE 
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    City                 |    MARYSVILLE
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    State                |    WA
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    Zip                  |    98271-4743
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    Country              |    US
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    Telephone            |    360-454-1900
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    Fax                  |    360-454-1991
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5127 
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    City                 |    EVERETT
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    State                |    WA
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    Zip                  |    98206-5127
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    Country              |    US
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    Telephone            |    425-258-3900
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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       |    0004325
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    License Number State |    CO
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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       |    OA.60577673
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    License Number State |    WA
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Taxonomy #3
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    PA60648261
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    License Number State |    WA
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