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General NPI Number Information
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NPI Number | 1457529141
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Entity Type | Organization
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Legal Business Name | TODD SHRADER MD INC.
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Dates
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Enumeration Date | 02/14/2008
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Last Update Date | 02/14/2008
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Provider Practice Location Address
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Address Line | 23456 HAWTHORNE BLVD SUITE 300
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City | TORRANCE
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State | CA
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Zip | 90505-4716
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Country | US
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Telephone | 310-316-6190
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Fax |
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Provider Business Mailing Address
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Address Line | 23456 HAWTHORNE BLVD SUITE 300
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City | TORRANCE
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State | CA
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Zip | 90505-4716
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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 | BILLING MANGER
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Name | DENISE PAIGE
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Credential |
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Telephone | 310-316-6190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | G73355
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License Number State | CA
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