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General NPI Number Information
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NPI Number | 1154397974
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Entity Type | Individual
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Provider Name | TARA A PASCAL PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 193 OLD SWEDE RD
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-1522
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Country | US
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Telephone | 610-385-3010
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Fax |
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Provider Business Mailing Address
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Address Line | 730 S HANOVER ST
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City | POTTSTOWN
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State | PA
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Zip | 19465-7520
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Country | US
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Telephone | 610-323-1662
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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 | OA002081
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA050792
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License Number State | PA
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