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General NPI Number Information
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NPI Number | 1477582740
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Entity Type | Organization
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Legal Business Name | DARYL MUNZER,MD A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 11/09/2007
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Provider Practice Location Address
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Address Line | 450 QUEENS AVE
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City | YUBA CITY
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State | CA
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Zip | 95991-2965
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Country | US
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Telephone | 530-674-4525
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Fax | 530-674-4514
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Provider Business Mailing Address
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Address Line | 450 QUEENS AVE
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City | YUBA CITY
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State | CA
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Zip | 95991-2965
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Country | US
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Telephone | 530-674-4525
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Fax | 530-674-4514
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DARYL DAVID MUNZER
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Credential | MD
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Telephone | 530-674-4525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | G55385
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License Number State | CA
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