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General NPI Number Information
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NPI Number | 1851464010
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Entity Type | Organization
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Legal Business Name | DAVID PORZIO, M.D., INC
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 2011 WESTCLIFF DR STE 6
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5599
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Country | US
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Telephone | 949-645-5528
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Fax | 949-645-5529
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Provider Business Mailing Address
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Address Line | 2011 WESTCLIFF DR STE 6
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-5599
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Country | US
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Telephone | 949-645-5528
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Fax | 949-645-5529
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID PORZIO
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Credential | M.D.
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Telephone | 949-645-5528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | A76138
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License Number State | CA
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