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General NPI Number Information
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NPI Number | 1912363797
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Entity Type | Individual
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Provider Name | ABIGAIL ANGELICA PAYNE LMP
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Gender | Female
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Dates
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Enumeration Date | 01/08/2016
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 5700 172ND ST NE STE B
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City | ARLINGTON
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State | WA
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Zip | 98223-7742
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Country | US
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Telephone | 360-572-3052
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Fax | 360-435-7941
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Provider Business Mailing Address
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Address Line | 8299 FAWN CRES
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City | BLAINE
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State | WA
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Zip | 98230-9302
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Country | US
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Telephone | 206-499-3758
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP70049726
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License Number State | WA
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