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General NPI Number Information
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NPI Number | 1750642138
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Entity Type | Organization
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Legal Business Name | DANIELLE N DABBS DO INC
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Dates
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Enumeration Date | 06/02/2012
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 3630 E IMPERIAL HWY
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City | LYNWOOD
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State | CA
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Zip | 90262-2609
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Country | US
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Telephone | 213-700-8904
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Fax | 310-586-8215
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Provider Business Mailing Address
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Address Line | PO BOX 67033
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City | LOS ANGELES
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State | CA
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Zip | 90067-0033
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Country | US
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Telephone | 213-700-8904
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Fax | 310-586-8215
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. DANIELLE N DABBS
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Credential | D.O.
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Telephone | 213-700-8904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 20A8807
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 20A8807
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 20A8807
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License Number State | CA
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