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General NPI Number Information
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NPI Number | 1124790779
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Entity Type | Individual
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Provider Name | AHMET ARDA PA-C
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Gender | Male
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Dates
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Enumeration Date | 10/01/2021
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | LOWCOUNTRY EMERGENCY PHYSICIANS 316 CALHOUN STREET
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City | CHARLESTON
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State | SC
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Zip | 29401
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Country | US
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Telephone | 205-999-0415
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Fax |
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Provider Business Mailing Address
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Address Line | 2115 CHANCELLORY LN
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City | CHARLESTON
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State | SC
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Zip | 29414-6249
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Country | US
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Telephone | 910-382-8657
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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 |
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License Number State |
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