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General NPI Number Information
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NPI Number | 1457638736
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Entity Type | Individual
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Provider Name | MARY EHRSAM PA
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Gender | Female
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Dates
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Enumeration Date | 11/14/2011
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | PSC 482
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City | FPO
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State | AP
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Zip | 96362-9998
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Country | US
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Telephone | 011816117437015
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Fax | 011816117430229
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Provider Business Mailing Address
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Address Line | 4933 SETTLERS MARKET BLVD
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-2291
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Country | US
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Telephone | 814-882-4246
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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 |
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License Number State |
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