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General NPI Number Information
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NPI Number | 1811328057
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Entity Type | Individual
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Provider Name | DANIELLE SANDRA HARRINGTON PA
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Gender | Female
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 399 GRANT AVENUE RD
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City | AUBURN
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State | NY
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Zip | 13021-8202
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Country | US
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Telephone | 315-253-2669
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Fax | 315-282-0077
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Provider Business Mailing Address
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Address Line | 399 GRANT AVENUE RD PO BOX 1339
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City | AUBURN
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State | NY
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Zip | 13021-8202
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Country | US
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Telephone | 315-253-2669
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Fax | 315-282-0077
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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 | 017191
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License Number State | NY
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