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General NPI Number Information
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NPI Number | 1821279845
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Entity Type | Individual
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Provider Name | DENNY JAMES DARTEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 03/19/2018
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Provider Practice Location Address
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Address Line | 1800 RYAN ST STE 105
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City | LAKE CHARLES
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State | LA
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Zip | 70601-6078
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Country | US
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Telephone | 337-439-4706
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Fax | 337-439-8110
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Provider Business Mailing Address
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Address Line | PO BOX 919112
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City | DALLAS
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State | TX
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Zip | 75391-9112
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Country | US
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Telephone | 337-439-4706
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Fax | 337-439-8110
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | 28838
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 205344
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License Number State | LA
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