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General NPI Number Information
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NPI Number | 1699076869
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Entity Type | Organization
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Legal Business Name | DONALD J. CONLON, M.D PROFESSIONAL CORP.
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 04/06/2011
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Provider Practice Location Address
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Address Line | 340 DARDANELLI LN SUITE 13
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City | LOS GATOS
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State | CA
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Zip | 95032-1418
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Country | US
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Telephone | 408-370-7200
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Fax | 408-370-0935
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Provider Business Mailing Address
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Address Line | 340 DARDANELLI LN SUITE 13
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City | LOS GATOS
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State | CA
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Zip | 95032-1418
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Country | US
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Telephone | 408-370-7200
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Fax | 408-370-0935
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD J CONLON
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Credential | MD
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Telephone | 408-370-7200
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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 | C186470
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License Number State | CA
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