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General NPI Number Information
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NPI Number | 1689190365
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Entity Type | Individual
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Provider Name | DANIELLE NEKETA HARRIS PARTIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 7780 BRIER CREEK PKWY STE 306
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City | RALEIGH
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State | NC
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Zip | 27617
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Country | US
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Telephone | 919-704-1486
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Fax | 877-745-2672
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Provider Business Mailing Address
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Address Line | 613 MAYWOOD AVE
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City | RALEIGH
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State | NC
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Zip | 27603-2339
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Country | US
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Telephone | 919-436-5383
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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 |
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License Number State |
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