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Individual

DANIEL D TAFFE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
4775 PEACHTREE INDUSTRIAL BLVD, SUITE 300, BERKELEY LAKE, GA 30092-3015
(800) 780-3500
(770) 246-0882
Mailing address
4775 PEACHTREE INDUSTRIAL BLVD, SUITE 300, BERKELEY LAKE, GA 30092-3015
(800) 780-3500
(770) 246-0882

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
347
NH
363A00000X
Physician Assistant
Primary
51591
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30330538
NH
Enumeration date
06/14/2006
Last updated
09/02/2014
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