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General NPI Number Information
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NPI Number | 1053740696
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Entity Type | Individual
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Provider Name | TAYLOR BARGER PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 06/21/2016
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Provider Practice Location Address
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Address Line | 900 PLAZA DR
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City | MONTOURSVILLE
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State | PA
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Zip | 17754-2448
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Country | US
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Telephone | 570-368-2235
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Fax | 570-368-3932
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Provider Business Mailing Address
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Address Line | 621 S MAIN ST SUITE 1K
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City | DU BOIS
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State | PA
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Zip | 15801-1413
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Country | US
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Telephone |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA056601
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License Number State | PA
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