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Individual
FAYTH TAYLOR HEBERT
Active
Individual
FAYTH TAYLOR HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5197-23
WI
363A00000X
Physician Assistant
Primary
PA61683066
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1173753
NATIONAL COMMISSION OF CERTIFIED PHYSICIAN ASSISTANTS
—
Enumeration date
09/17/2020
Last updated
07/23/2026
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