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NPI Code Detail

MEDICARE: DANIEL DAMEN

MEDICARE:   DANIEL  DAMEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician20A22656CA

General Provider Information

NPI Number : 1891358263
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL DAMEN
Provider Business Mailing Address
First Line : 7031 SW 62ND AVE
Second Line :
City : SOUTH MIAMI
State : FL
Zip : 33143-4701
Country : US
Telephone Number : 305-284-7761
Fax Number :
Provider Business Practice Location Address
First Line : 150 N LINCOLN WAY
Second Line :
City : GALT
State : CA
Zip : 95632-1721
Country : US
Telephone Number : 209-745-4633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2019
Last Update Date : 05/24/2024

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Directions to “ DANIEL DAMEN ” Practice Location

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