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General NPI Number Information
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NPI Number | 1962433615
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Entity Type | Individual
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Provider Name | JASON A. DARE M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 03/02/2025
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Provider Practice Location Address
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Address Line | 1001 TECHNOLOGY DR STE 401
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City | LITTLE ROCK
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State | AR
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Zip | 72223-6113
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Country | US
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Telephone | 800-294-3557
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 TECHNOLOGY DR STE 401
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City | LITTLE ROCK
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State | AR
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Zip | 72223-6113
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Country | US
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Telephone | 800-294-3557
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | E3692
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 2080P0216X
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Taxonomy Name | Pediatric Rheumatology Physician
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License Number | E3692
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | E3692
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License Number State | AR
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