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General NPI Number Information
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NPI Number | 1245233105
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Entity Type | Individual
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Provider Name | JOSEPH BRIAN PRIGG PA-C,PHD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 379 WALMART DR STE A
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City | CAMDEN
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State | DE
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Zip | 19934-1365
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Country | US
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Telephone | 302-698-4441
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Fax |
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Provider Business Mailing Address
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Address Line | 344 CHARLIES CT
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City | FELTON
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State | DE
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Zip | 19943-5276
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Country | US
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Telephone | 302-922-2295
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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 | C50000284
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License Number State | DE
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