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General NPI Number Information
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NPI Number | 1700862539
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Entity Type | Individual
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Provider Name | DAMON C SACCO M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/22/2005
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 1260 S ELISEO DR STE 101
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City | GREENBRAE
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State | CA
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Zip | 94904-2009
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Country | US
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Telephone | 415-464-8080
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Fax | 415-461-6743
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Provider Business Mailing Address
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Address Line | PO BOX 6102
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City | NOVATO
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State | CA
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Zip | 94948-6102
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Country | US
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Telephone | 415-884-3404
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 44191
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License Number State | MT
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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 | MEDS5074
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License Number State | AK
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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 | 35314
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License Number State | AZ
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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 | DR.0030779
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License Number State | CO
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 036.108540
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 24477
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 21492
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License Number State | OK
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Taxonomy #8
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 13323
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License Number State | NV
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 35.049768
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License Number State | OH
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Taxonomy #10
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD00032565
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License Number State | WA
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Taxonomy #11
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA07213700
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License Number State | NJ
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Taxonomy #12
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G59549
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License Number State | CA
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