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General NPI Number Information
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NPI Number | 1568551513
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Entity Type | Organization
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Legal Business Name | WALTER PALADINO MD LLC
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 09/02/2010
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Provider Practice Location Address
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Address Line | 540 PARMALEE AVE STE 200
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City | YOUNGSTOWN
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State | OH
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Zip | 44510-1605
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Country | US
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Telephone | 330-744-2883
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Fax | 330-744-3935
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Provider Business Mailing Address
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Address Line | 540 PARMALEE AVE STE 200
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City | YOUNGSTOWN
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State | OH
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Zip | 44510-1717
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Country | US
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Telephone | 330-744-2883
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Fax | 330-744-3935
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. WALTER P PALADINO
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Credential | MD
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Telephone | 330-744-2883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35072120P
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License Number State | OH
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