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General NPI Number Information
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NPI Number | 1225288343
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Entity Type | Organization
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Legal Business Name | DANIEL F CRAVIOTTO JR A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5333 HOLLISTER AVE STE 150
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2443
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Country | US
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Telephone | 805-967-9311
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Fax | 805-967-4192
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Provider Business Mailing Address
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Address Line | 5333 HOLLISTER AVE STE 150
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City | SANTA BARBARA
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State | CA
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Zip | 93111-2443
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Country | US
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Telephone | 805-967-9311
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Fax | 805-967-4192
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. DANIEL FRED CRAVIOTTO JR.
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Credential | MD
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Telephone | 805-967-9311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | A48485
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License Number State | CA
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