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General NPI Number Information
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NPI Number | 1659534527
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Entity Type | Individual
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Provider Name | DANIEL INACIO DA GRACA M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 3600 N INTERSTATE AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1106
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Country | US
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Telephone | 800-813-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 500 NE MULTNOMAH ST STE 100
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City | PORTLAND
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State | OR
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Zip | 97232-2031
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Country | US
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Telephone |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10031164
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD167727
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License Number State | OR
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