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General NPI Number Information
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NPI Number | 1679345847
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Entity Type | Individual
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Provider Name | ABIGAIL COLEMAN TAYLOR PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1850 TOWN CENTER PKWY
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City | RESTON
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State | VA
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Zip | 20190-3204
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Country | US
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Telephone | 703-689-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 4951 WESTCROFT BLVD APT 286
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City | CHANTILLY
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State | VA
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Zip | 20151-1578
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Country | US
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Telephone | 570-335-7282
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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 | PA200001734
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License Number State | DC
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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 | 0110009639
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License Number State | VA
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