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General NPI Number Information
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NPI Number | 1427142249
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Entity Type | Organization
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Legal Business Name | DANNY C SARDON MD PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1501 WABASH ST #201
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-4357
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Country | US
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Telephone | 219-872-7555
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Fax | 219-872-8671
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Provider Business Mailing Address
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Address Line | 1501 WABASH ST #201
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City | MICHIGAN CITY
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State | IN
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Zip | 46360-4357
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Country | US
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Telephone | 219-872-7555
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Fax | 219-872-8671
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Authorized Official
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Title or Position | PRES
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Name | DANNY CRUZ SARDON
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Credential | MD
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Telephone | 219-872-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | IN
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