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General NPI Number Information
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NPI Number | 1659282101
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Entity Type | Individual
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Provider Name | WAYDEN AY PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 2352 BRUCE B DOWNS BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-9203
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Country | US
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Telephone | 813-979-0440
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Fax |
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Provider Business Mailing Address
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Address Line | 3133 4TH TER N
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City | ST PETERSBURG
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State | FL
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Zip | 33713-7670
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Country | US
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Telephone | 609-315-3649
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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 | FL
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