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General NPI Number Information
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NPI Number | 1336319797
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Entity Type | Individual
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Provider Name | DANIEL ARTURO DONGO MS, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 03/01/2008
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Last Update Date | 08/04/2008
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Provider Practice Location Address
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Address Line | 4339 ROOSEVELT BLVD SUITE 600
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City | JACKSONVILLE
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State | FL
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Zip | 32210-2004
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Country | US
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Telephone | 904-389-8570
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Fax | 904-389-8599
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Provider Business Mailing Address
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Address Line | 1325 SAN MARCO BLVD SUITE 701
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8568
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Country | US
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Telephone | 904-858-6418
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Fax | 904-858-6490
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL2511
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License Number State | FL
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