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General NPI Number Information
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NPI Number | 1922588177
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Entity Type | Individual
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Provider Name | LENA REDKINA PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/17/2018
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 12728 19TH AVE SE STE 200
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City | EVERETT
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State | WA
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Zip | 98208-6676
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Country | US
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Telephone | 425-225-2700
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Fax | 425-225-2790
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Provider Business Mailing Address
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Address Line | 12728 19TH AVE SE STE 200
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City | EVERETT
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State | WA
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Zip | 98208-6676
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Country | US
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Telephone | 425-225-2700
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Fax | 425-225-2790
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 61054047
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License Number State | WA
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