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General NPI Number Information
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NPI Number | 1649610007
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Entity Type | Individual
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Provider Name | WILLIAM GARRETT REYNOLDS P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 12800 BOTHELL EVERETT HWY
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City | EVERETT
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State | WA
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Zip | 98208-6642
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Country | US
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Telephone | 425-316-5150
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Fax | 425-316-5153
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Provider Business Mailing Address
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Address Line | 19200 N KELSEY ST
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City | MONROE
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State | WA
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Zip | 98272-1431
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Country | US
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Telephone | 360-794-7994
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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 | PA60807601
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA60807601
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License Number State | WA
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