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General NPI Number Information
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NPI Number | 1356316889
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Entity Type | Individual
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Provider Name | NATHANIEL SETH LADEN M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 02/20/2006
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 9200 W WISCONSIN AVE CARDIOTHORACIC SURGERY
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City | MILWAUKEE
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State | WI
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Zip | 53226-3522
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Country | US
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Telephone | 414-955-6900
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Fax | 414-955-6204
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Provider Business Mailing Address
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Address Line | 9200 W WISCONSIN AVE CARDIOTHORACIC SURGERY
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City | MILWAUKEE
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State | WI
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Zip | 53226-3522
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Country | US
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Telephone | 414-955-6900
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Fax | 414-955-6204
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 35.071969L
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 18081
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License Number State | WI
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