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General NPI Number Information
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NPI Number | 1457473266
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Entity Type | Individual
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Provider Name | LINDA ROSE MIGNANO MD
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1900 SULLIVAN SETON MEDICAL CENTER DEPT OF ANESTHESIA
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City | DALY CITY
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State | CA
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Zip | 94015
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Country | US
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Telephone | 650-991-6511
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Fax | 650-756-6285
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Provider Business Mailing Address
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Address Line | 180 CALDECOTT LANE UNIT 316
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City | OAKLAND
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State | CA
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Zip | 94618
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Country | US
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Telephone | 510-704-1763
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G65980
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License Number State | CA
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