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General NPI Number Information
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NPI Number | 1578548822
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Entity Type | Individual
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Provider Name | DANIEL PAUL SAURBORN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/09/2005
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 5820 OBERLIN DR SUITE 205
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City | SAN DIEGO
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State | CA
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Zip | 92121-3742
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Country | US
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Telephone | 858-366-7800
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Fax | 602-345-7735
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Provider Business Mailing Address
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Address Line | 5820 OBERLIN DR SUITE 205
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City | SAN DIEGO
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State | CA
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Zip | 92121-3742
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Country | US
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Telephone | 858-366-7800
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Fax | 602-345-7735
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 00026608
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD421948
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA07864300
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 11374
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License Number State | NV
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