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General NPI Number Information
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NPI Number | 1093519415
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Entity Type | Individual
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Provider Name | DEENA PALADINO CSFA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 3815 HIGHLAND AVE
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1500
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Country | US
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Telephone | 360-275-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 118 FESSLER DR
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-1043
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Country | US
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Telephone | 360-202-1321
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Fax |
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number |
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License Number State |
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