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General NPI Number Information
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NPI Number | 1437431244
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Entity Type | Organization
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Legal Business Name | GUY DANON DPM INC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 751 WESTHOLME AVE
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City | LOS ANGELES
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State | CA
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Zip | 90024-3315
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Country | US
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Telephone | 562-208-9407
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Fax | 310-234-0384
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Provider Business Mailing Address
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Address Line | 751 WESTHOLME AVE
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City | LOS ANGELES
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State | CA
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Zip | 90024-3315
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Country | US
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Telephone | 562-208-9407
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Fax | 310-234-0384
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Authorized Official
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Title or Position | CEO
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Name | DR. GUY D DANON
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Credential | DPM
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Telephone | 562-208-9407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E3542
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License Number State | CA
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