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Individual
MRS. TARYN ELIZABETH ROUTSON
Active
Individual
MRS. TARYN ELIZABETH ROUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055157
PA
363AM0700X
Medical Physician Assistant
MA055157
PA
363AM0700X
Medical Physician Assistant
OA003667
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1602799
GATEWAY MEDICARE ASSURED
PA
01
—
2677098
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
10/21/2011
Last updated
04/09/2021
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