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General NPI Number Information
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NPI Number | 1669784179
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Entity Type | Individual
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Provider Name | DARREN CHRISTOPHER ESTEVE PA-C
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Gender | Male
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Dates
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Enumeration Date | 07/13/2010
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 15536 RIVER RD
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City | NORCO
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State | LA
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Zip | 70079-2537
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Country | US
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Telephone | 225-937-2029
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Fax |
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Provider Business Mailing Address
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Address Line | 13251 QUAIL GROVE AVE
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City | BATON ROUGE
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State | LA
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Zip | 70809-5261
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Country | US
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Telephone | 225-937-2029
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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 | PA.A10549.RX
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License Number State | LA
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