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General NPI Number Information
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NPI Number | 1063653962
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Entity Type | Organization
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Legal Business Name | SALVATORE A. DANNA, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/23/2009
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 11411 BROOKSHIRE AVE SUITE 502
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City | DOWNEY
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State | CA
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Zip | 90241-5026
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Country | US
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Telephone | 562-622-9975
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Fax | 562-923-9447
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Provider Business Mailing Address
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Address Line | 11411 BROOKSHIRE AVE SUITE 502
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City | DOWNEY
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State | CA
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Zip | 90241-5026
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Country | US
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Telephone | 562-622-9975
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Fax | 562-923-9447
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. SALVATORE ANTHONY DANNA
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Credential | M.D.
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Telephone | 562-622-7216
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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 | PA15685
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | C36260
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License Number State | CA
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