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General NPI Number Information
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NPI Number | 1528758349
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Entity Type | Individual
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Provider Name | DAKOTA MCQUAID HALBERT PA
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Gender | Male
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Dates
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Enumeration Date | 05/15/2023
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 800 ROSE ST
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City | LEXINGTON
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State | KY
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Zip | 40536-0001
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Country | US
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Telephone | 859-257-1000
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Fax | 859-218-7658
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Provider Business Mailing Address
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Address Line | 36 FITCH AVE
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City | WINCHESTER
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State | KY
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Zip | 40391-1832
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Country | US
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Telephone |
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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 |
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License Number State |
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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 | TC003
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License Number State | KY
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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 | TC003
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA3286
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | TC003
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA3286
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA3286
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License Number State | KY
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