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General NPI Number Information
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NPI Number | 1679816227
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Entity Type | Individual
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Provider Name | PATRICK JOSEPH DARGA
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Gender | Male
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 4100 PARK FOREST DR STE 210
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City | TRAVERSE CITY
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State | MI
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Zip | 49684-7306
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Country | US
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Telephone | 231-935-5770
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Fax |
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Provider Business Mailing Address
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Address Line | 343 AUGUSTA ST
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City | PITTSBURGH
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State | PA
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Zip | 15211-1105
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Country | US
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Telephone | 231-499-9234
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 4301114344
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License Number State | MI
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