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General NPI Number Information
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NPI Number | 1467743542
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Entity Type | Organization
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Legal Business Name | HUMBERTO PALLADINO MD, PA
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 08/08/2013
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Provider Practice Location Address
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Address Line | 10175 GATEWAY BLVD W 210
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City | EL PASO
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State | TX
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Zip | 79925-7618
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Country | US
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Telephone | 915-590-7900
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Fax | 915-590-7902
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Provider Business Mailing Address
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Address Line | 5959 GATEWAY BLVD W 120
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City | EL PASO
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State | TX
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Zip | 79925-3331
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Country | US
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Telephone | 915-779-1716
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | HUMBERTO PALLADINO
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Credential | MD
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Telephone | 507-722-1192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | N8437
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License Number State | TX
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