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General NPI Number Information
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NPI Number | 1750894184
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Entity Type | Individual
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Provider Name | DANIEL JACOB DENSLEY PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 925 WELLS AVENUE P.O. BOX 3520
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City | WEST WENDOVER
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State | NV
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Zip | 89883-3520
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Country | US
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Telephone | 775-664-2220
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Fax | 775-664-2965
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Provider Business Mailing Address
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Address Line | 3325 RESEARCH WAY
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City | CARSON CITY
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State | NV
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Zip | 89706-7913
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Country | US
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Telephone | 775-888-6610
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Fax | 775-888-4904
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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 | PA1899
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 01994
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 6010580-1206
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License Number State | UT
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