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General NPI Number Information
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NPI Number | 1376533430
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Entity Type | Individual
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Provider Name | RONALD I LANDAU MD
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Gender | Male
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Dates
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Enumeration Date | 10/28/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 601 N CONGRESS AVE SUITE 311
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4623
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Country | US
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Telephone | 561-921-0922
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Fax | 561-921-0923
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Provider Business Mailing Address
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Address Line | 601 N CONGRESS AVE SUITE 311
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4623
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Country | US
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Telephone | 561-921-0922
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Fax | 561-921-0923
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME71932
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 32742
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 36351
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 217235
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 4301077268
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License Number State | MI
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