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General NPI Number Information
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NPI Number | 1861779829
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Entity Type | Individual
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Provider Name | DARREN J KLASSEN PA-C
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Gender | Male
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Dates
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Enumeration Date | 11/04/2011
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Last Update Date | 12/27/2012
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Provider Practice Location Address
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Address Line | 223 16TH AVE N
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City | NAMPA
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State | ID
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Zip | 83687-4058
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Country | US
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Telephone | 208-466-7869
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Fax | 208-466-5359
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Provider Business Mailing Address
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Address Line | 190 E BANNOCK ST
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City | BOISE
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State | ID
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Zip | 83712-6241
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Country | US
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Telephone | 208-461-7149
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Fax | 208-467-3391
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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 | PA945
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License Number State | ID
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