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General NPI Number Information
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NPI Number | 1982687026
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Entity Type | Individual
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Provider Name | DANIEL DOMINGUES DE OLIVEIRA M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 850 W BARAGA AVE STE 20
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City | MARQUETTE
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State | MI
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Zip | 49855-4550
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Country | US
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Telephone | 906-449-3440
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Fax | 906-449-1952
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8775
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 332837
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 4301116886
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License Number State | MI
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