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General NPI Number Information
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NPI Number | 1508861709
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Entity Type | Individual
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Provider Name | NOELLE M EGGE PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/15/2005
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 9505 S STEELE ST
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City | TACOMA
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State | WA
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Zip | 98444-1858
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Country | US
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Telephone | 253-597-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 3325 GLENDALE DR W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98466-2226
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Country | US
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Telephone | 608-385-6085
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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 | 1834
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License Number State | WI
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