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General NPI Number Information
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NPI Number | 1245223379
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Entity Type | Individual
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Provider Name | JERRY DONALD DAY JR. PA C
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Gender | Male
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 137 MEDICAL LANE
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City | POLLOCKSVILLE
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State | NC
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Zip | 28573
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Country | US
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Telephone | 252-633-1010
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Fax | 252-224-3071
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | POLLOCKSVILLE
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State | NC
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Zip | 28573-0068
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Country | US
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Telephone | 252-633-1010
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Fax | 252-224-3071
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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 | 73
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 100637
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License Number State | NC
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