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General NPI Number Information
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NPI Number | 1558458067
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Entity Type | Individual
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Provider Name | VLAD D IANUS MD
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 720 ESKENAZI AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5187
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Country | US
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Telephone | 317-274-4779
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Fax | 317-948-9806
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Provider Business Mailing Address
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Address Line | 800 BRADBURY DR SE STE 116
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City | ALBUQUERQUE
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State | NM
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Zip | 87106-4310
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Country | US
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Telephone |
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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 | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | MD2006-0731
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 2080N0001X
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Taxonomy Name | Neonatal-Perinatal Medicine Physician
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License Number | 01094697A
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License Number State | IN
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