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General NPI Number Information
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NPI Number | 1669894713
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Entity Type | Individual
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Provider Name | DARCY DUFFIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/08/2014
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Last Update Date | 01/08/2014
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Provider Practice Location Address
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Address Line | 9339 GENESEE AVE STE P39
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City | SAN DIEGO
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State | CA
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Zip | 92121-2120
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Country | US
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Telephone | 858-545-5755
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Fax |
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Provider Business Mailing Address
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Address Line | 5521 LA JOLLA HERMOSA AVE
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City | LA JOLLA
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State | CA
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Zip | 92037-7616
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Country | US
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Telephone | 619-203-2032
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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 | PA23134
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License Number State | CA
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