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Healthcare Organization Stored source record

DANIELLE ABRAMO LEVI DDS INC

30 CALEDONIA ST STE B, SAUSALITO, CA, 949652155

atlas:atm_npi_1003323130

Block 2012Block Group 2Census Tract 1302.04Marin CountyCaliforniaUnited States

What is stored

phone
415-332-4011
status
A
address
30 CALEDONIA ST STE B, SAUSALITO, CA, 949652155
fax
415-332-9114
npi
1003323130
license
52419
taxonomy
Dentist, General Practice
other names
[]
last updated
2018-03-17
license state
CA
taxonomy code
1223G0001X
all taxonomies
["Dentist, General Practice"]
enumeration date
2018-01-10
enumeration type
NPI-2
practice locations
1
authorized official
DANIELLE LEVI
organizational subpart
NO

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{
  "fax": "415-332-9114",
  "npi": "1003323130",
  "phone": "415-332-4011",
  "status": "A",
  "address": "30 CALEDONIA ST STE B, SAUSALITO, CA, 949652155",
  "license": "52419",
  "taxonomy": "Dentist, General Practice",
  "other_names": [],
  "last_updated": "2018-03-17",
  "license_state": "CA",
  "taxonomy_code": "1223G0001X",
  "all_taxonomies": [
    "Dentist, General Practice"
  ],
  "enumeration_date": "2018-01-10",
  "enumeration_type": "NPI-2",
  "practice_locations": 1,
  "authorized_official": "DANIELLE LEVI",
  "organizational_subpart": "NO"
}