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General NPI Number Information
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NPI Number | 1568418788
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Entity Type | Individual
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Provider Name | LISA D DARBY-OBAR PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | BIDDEFORD
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State | ME
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Zip | 04005-9422
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Country | US
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Telephone | 207-294-8351
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Fax | 207-294-3566
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Provider Business Mailing Address
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Address Line | 1 MEDICAL CENTER DR
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City | BIDDEFORD
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State | ME
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Zip | 04005-9422
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Country | US
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Telephone |
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Fax | 207-294-3566
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA2476
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License Number State | ME
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