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General NPI Number Information
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NPI Number | 1730363425
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Entity Type | Individual
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Provider Name | VALERIE JEAN DAHILL PAC
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Gender | Female
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 1800 N MESA ST SUITE 200
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City | EL PASO
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State | TX
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Zip | 79902-3553
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Country | US
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Telephone | 915-577-9900
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Fax | 915-577-0200
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Provider Business Mailing Address
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Address Line | 506 CROWN POINT DR
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City | EL PASO
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State | TX
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Zip | 79912-4830
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Country | US
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Telephone | 915-252-1554
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA05566
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License Number State | TX
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Taxonomy #2
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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 | TX
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