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General NPI Number Information
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NPI Number | 1255370797
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Entity Type | Individual
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Provider Name | GIANCARLO PASQUALE DIMASSA MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 817 S MADISON AVE
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City | PASADENA
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State | CA
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Zip | 91106-4404
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Country | US
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Telephone | 310-753-0885
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Fax | 626-696-3210
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Provider Business Mailing Address
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Address Line | 817 S MADISON AVE
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City | PASADENA
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State | CA
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Zip | 91106-4404
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Country | US
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Telephone | 310-753-0885
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Fax | 626-696-3210
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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 | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number | A81063
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A81063
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License Number State | CA
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