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NPI 1487628863

NPI 1487628863 : EMMA CRISTINA DIPONIO MD : IRON MOUNTAIN, MI

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General NPI Number Information
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    NPI Number           |    1487628863
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    Entity Type          |    Individual 
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    Provider Name        |    EMMA CRISTINA DIPONIO MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/14/2006
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    Last Update Date     |    06/12/2025
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Provider Practice Location Address
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    Address Line         |    1115 S HEMLOCK ST SUITE 3
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    City                 |    IRON MOUNTAIN
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    State                |    MI
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    Zip                  |    49801-3800
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    Country              |    US
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    Telephone            |    906-282-8500
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    Fax                  |    906-282-8500
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Provider Business Mailing Address
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    Address Line         |    PO BOX 767 
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    City                 |    IRON MOUNTAIN
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    State                |    MI
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    Zip                  |    49801-0767
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    Country              |    US
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    Telephone            |    906-282-8500
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    Fax                  |    855-834-6292
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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       |    56417
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    License Number State |    WI
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