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General NPI Number Information
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NPI Number | 1447407762
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Entity Type | Individual
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Provider Name | ERIN D DAUGHERTY PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/19/2008
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2100 WESCOTT DR
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City | FLEMINGTON
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State | NJ
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Zip | 08822-4603
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Country | US
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Telephone | 908-788-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 63 CHURCH ST
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City | FLEMINGTON
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State | NJ
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Zip | 08822-1627
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Country | US
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Telephone | 908-788-6146
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | OA002259
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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 | MA053167
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 25MP00215200
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License Number State | NJ
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