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Individual
DANIEL LARGE
Active
Individual
DANIEL LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2028
ME
363A00000X
Physician Assistant
PA6046
MA
363A00000X
Physician Assistant
Primary
PA65384
CA
363AS0400X
Surgical Physician Assistant
PA2028
ME
Other
Enumeration date
02/21/2017
Last updated
01/09/2026
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