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General NPI Number Information
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NPI Number | 1538801576
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Entity Type | Individual
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Provider Name | DR. ABIGAIL TATE WINGLER
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Gender | Female
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 1025 HIGHWAY 72 BYP
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City | FREDERICKTOWN
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State | MO
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Zip | 63645-7326
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Country | US
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Telephone | 573-783-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 TWIN OAKS DR
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City | DOE RUN
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State | MO
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Zip | 63637-3190
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Country | US
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Telephone | 636-375-9283
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2022010907
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License Number State | MO
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