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General NPI Number Information
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NPI Number | 1326099607
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Entity Type | Individual
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Provider Name | VICTORIA A DAMBA DO
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1508 EDGEMONT BLVD
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City | PERRYVILLE
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State | MO
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Zip | 63775-1231
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Country | US
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Telephone | 573-768-3220
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Fax | 573-519-5330
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Provider Business Mailing Address
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Address Line | 1508 EDGEMONT BLVD
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City | PERRYVILLE
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State | MO
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Zip | 63775-1231
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Country | US
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Telephone | 573-768-3220
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Fax | 573-519-5330
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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 | 113379
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License Number State | MO
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