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General NPI Number Information
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NPI Number | 1477534154
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Entity Type | Individual
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Provider Name | JOSEPH LADIKA MD
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Gender | Male
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Dates
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Enumeration Date | 11/09/2005
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 3235 MILL VISTA RD
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City | HIGHLANDS RANCH
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State | CO
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Zip | 80129-2440
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Country | US
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Telephone | 303-876-8320
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Fax |
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Provider Business Mailing Address
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Address Line | 5730 EXECUTIVE DR STE 230
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City | CATONSVILLE
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State | MD
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Zip | 21228-1762
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Country | US
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Telephone | 303-876-8320
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Fax | 888-701-4175
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 37159
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 37159
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0037159
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License Number State | CO
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