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General NPI Number Information
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NPI Number | 1215139951
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Entity Type | Individual
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Provider Name | KENNETH PATRICK L LIGARAY M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 07/21/2015
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Provider Practice Location Address
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Address Line | 345 W WASHINGTON AVE
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City | MADISON
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State | WI
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Zip | 53703-2996
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Country | US
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Telephone | 608-417-8300
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Fax | 608-417-8301
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Provider Business Mailing Address
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Address Line | 202 S PARK ST
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City | MADISON
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State | WI
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Zip | 53715-1507
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Country | US
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Telephone | 608-417-6000
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 27817
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 64266
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | D70299
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License Number State | MD
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