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General NPI Number Information
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NPI Number | 1528003522
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Entity Type | Individual
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Provider Name | TOM V PAGANO M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 10/16/2018
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Provider Practice Location Address
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Address Line | 3219 CENTRAL AVE.
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City | KEARNEY
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State | NE
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Zip | 68848-0550
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Country | US
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Telephone | 308-865-2808
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Fax | 308-865-2541
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Provider Business Mailing Address
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Address Line | 816 22ND AVE STE 100
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City | KEARNEY
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State | NE
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Zip | 68845-2226
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Country | US
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Telephone | 308-865-2808
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Fax | 308-865-2541
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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 | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 15146
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 15146
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License Number State | NE
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