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NPI Code Detail

MEDICARE: JANICE DARA MD

MEDICARE: JANICE DARA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician309605LA

General Provider Information

NPI Number : 1952757304
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANICE DARA MD
Provider Business Mailing Address
First Line : 3335 PRESCOTT RD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3916
Country : US
Telephone Number : 318-528-5050
Fax Number : 318-445-7210
Provider Business Practice Location Address
First Line : 3335 PRESCOTT RD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71301-3916
Country : US
Telephone Number : 318-528-5050
Fax Number : 318-445-7210
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2016
Last Update Date : 01/02/2026

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