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General NPI Number Information
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NPI Number | 1487760351
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Entity Type | Individual
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Provider Name | IAIN FAN DO
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Gender | Male
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 2620 EASTON RD
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City | HELLERTOWN
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State | PA
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Zip | 18055-3312
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Country | US
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Telephone | 570-357-6163
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 EASTON RD
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City | HELLERTOWN
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State | PA
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Zip | 18055-3312
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Country | US
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Telephone | 570-357-6163
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Fax |
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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 | 202243
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License Number State | NY
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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 | 20224301
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License Number State | NY
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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 | OS009864L
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License Number State | PA
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