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General NPI Number Information
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NPI Number | 1750855797
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Entity Type | Individual
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Provider Name | REBECCA AGBAYANI PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/13/2019
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 519 W JUBAL EARLY DR STE 301
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City | WINCHESTER
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State | VA
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Zip | 22601-6519
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Country | US
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Telephone | 540-536-5500
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Fax | 540-536-5507
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Provider Business Mailing Address
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Address Line | 519 W JUBAL EARLY DR STE 301
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City | WINCHESTER
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State | VA
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Zip | 22601-6519
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Country | US
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Telephone |
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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 | MD
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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 | 9939
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110008163
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License Number State | VA
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