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General NPI Number Information
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NPI Number | 1164613741
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Entity Type | Individual
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Provider Name | ROBERT ALMY DANIELSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/07/2007
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Last Update Date | 08/07/2007
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Provider Practice Location Address
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Address Line | 4255 S EL POMAR RD
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City | TEMPLETON
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State | CA
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Zip | 93465-8667
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Country | US
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Telephone | 805-237-0422
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Fax |
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Provider Business Mailing Address
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Address Line | HIGHWAY 1
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93409-0001
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Country | US
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Telephone | 805-547-7911
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Fax |
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G35577
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License Number State | CA
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