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General NPI Number Information
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NPI Number | 1629877253
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Entity Type | Organization
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Legal Business Name | YARMOUTH DIRECT PRIMARY CARE PLLC
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Dates
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Enumeration Date | 03/07/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 500 US ROUTE 1 STE 107
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City | YARMOUTH
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State | ME
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Zip | 04096-6816
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Country | US
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Telephone | 207-560-0415
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Fax | 207-606-7624
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Provider Business Mailing Address
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Address Line | 500 US ROUTE 1 STE 107
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City | YARMOUTH
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State | ME
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Zip | 04096-6816
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Country | US
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Telephone | 207-560-0415
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Fax | 207-606-7624
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. JOHN L DAGGETT JR.
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Credential | MD
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Telephone | 207-459-8751
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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