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General NPI Number Information
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NPI Number | 1245699479
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Entity Type | Individual
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Provider Name | PATRICK DARGAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 6179 NW 40TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3224
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Country | US
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Telephone | 417-489-4003
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Fax |
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Provider Business Mailing Address
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Address Line | 6179 NW 40TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3224
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Country | US
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Telephone | 417-489-4003
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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 | PA9109341
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License Number State | FL
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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 | PA11448
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License Number State | TX
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