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General NPI Number Information
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NPI Number | 1417119827
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Entity Type | Individual
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Provider Name | DAYANA OTHONIE CARCAMO-MOLINA MD
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Gender | Female
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Dates
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Enumeration Date | 06/26/2008
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Last Update Date | 04/26/2012
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Provider Practice Location Address
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Address Line | 2351 CLAY ST STE 380
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-1931
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Country | US
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Telephone | 415-600-3954
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Fax | 415-775-7437
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Provider Business Mailing Address
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Address Line | 1007 41ST ST APT 441
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City | EMERYVILLE
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State | CA
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Zip | 94608-3778
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Country | US
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Telephone | 310-948-4221
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 9406987
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | A11529
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License Number State | CA
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