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General NPI Number Information
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NPI Number | 1962827626
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Entity Type | Individual
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Provider Name | DANIEL NARTKER PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/04/2014
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 600 N PICKAWAY ST
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-1447
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Country | US
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Telephone | 740-474-2126
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Fax |
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Provider Business Mailing Address
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Address Line | 41850 W 11 MILE RD STE 207
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City | NOVI
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State | MI
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Zip | 48375-1820
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Country | US
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Telephone | 248-860-4634
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50.003989
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License Number State | OH
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