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General NPI Number Information
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NPI Number | 1295194405
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Entity Type | Individual
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Provider Name | ANASTACIO F LADAO III (RRT)(CT)
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Gender | Male
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 4500 BLANCHAN AVE
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City | BROOKFIELD
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State | IL
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Zip | 60513-2206
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Country | US
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Telephone | 708-612-4566
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 BLANCHAN AVE
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City | BROOKFIELD
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State | IL
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Zip | 60513-2206
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Country | US
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Telephone |
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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 | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number | 500512230
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License Number State | IL
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