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General NPI Number Information
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NPI Number | 1528393675
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Entity Type | Individual
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Provider Name | JESSICA M MAGYAR PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/07/2009
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 274 E CHICAGO ST
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City | COLDWATER
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State | MI
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Zip | 49036-2041
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Country | US
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Telephone | 517-279-5437
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Fax | 517-279-5366
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Provider Business Mailing Address
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Address Line | 274 E CHICAGO ST
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City | COLDWATER
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State | MI
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Zip | 49036-2041
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Country | US
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Telephone | 517-279-5437
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Fax | 517-279-5366
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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 | PA 9104955
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License Number State | FL
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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 | 10001508A
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License Number State | IN
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