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NPI Code Detail

MEDICARE: TARA A PASCAL PA-C

MEDICARE: TARA A PASCAL PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantOA002081PA
2363AM0700XMedical Physician AssistantMA050792PA

General Provider Information

NPI Number : 1154397974
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARA A PASCAL PA-C
Provider Business Mailing Address
First Line : 730 S HANOVER ST
Second Line :
City : POTTSTOWN
State : PA
Zip : 19465-7520
Country : US
Telephone Number : 610-323-1662
Fax Number :
Provider Business Practice Location Address
First Line : 193 OLD SWEDE RD
Second Line :
City : DOUGLASSVILLE
State : PA
Zip : 19518-1522
Country : US
Telephone Number : 610-385-3010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 07/21/2025

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