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General NPI Number Information
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NPI Number | 1437228962
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Entity Type | Organization
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Legal Business Name | LINDA DONOFRIO
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 6000 SAN VICENTE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90036-4404
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Country | US
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Telephone | 310-350-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 THAYER AVE
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City | LOS ANGELES
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State | CA
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Zip | 90024-6008
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Country | US
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Telephone | 310-350-0606
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | LINDA DONOFRIO
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Credential |
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Telephone | 310-350-0606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G60347
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License Number State | CA
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