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General NPI Number Information
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NPI Number | 1063547420
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Entity Type | Individual
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Provider Name | DAVID S DASSOFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 10/05/2016
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Provider Practice Location Address
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Address Line | 211 13TH ST
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City | RAMONA
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State | CA
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Zip | 92065-2711
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Country | US
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Telephone | 760-789-5160
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Fax | 760-789-6316
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Provider Business Mailing Address
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Address Line | 15611 POMERADO RD FIFTH FLOOR
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City | POWAY
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State | CA
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Zip | 92064-2437
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Country | US
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Telephone | 858-675-3100
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Fax | 858-618-1523
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G137536
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License Number State | CA
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