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General NPI Number Information
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NPI Number | 1609147446
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Entity Type | Organization
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Legal Business Name | SALVATORE FRATIANNI D.O. A MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 245 SEA RIDGE RD
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City | APTOS
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State | CA
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Zip | 95003-4364
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Country | US
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Telephone | 831-689-9600
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Fax | 831-689-9663
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Provider Business Mailing Address
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Address Line | 245 SEA RIDGE RD
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City | APTOS
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State | CA
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Zip | 95003-4364
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Country | US
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Telephone | 831-689-9600
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Fax | 831-689-9663
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SALVATORE FRATIANNI
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Credential | D.O.
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Telephone | 831-419-2130
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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 | 20A6704
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License Number State | CA
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