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General NPI Number Information
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NPI Number | 1598886996
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Entity Type | Individual
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Provider Name | RAAD A YALDO DO
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Gender | Male
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 02/18/2010
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Provider Practice Location Address
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Address Line | 2080 SPRINGER DR
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City | LOMBARD
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State | IL
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Zip | 60148-6402
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Country | US
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Telephone | 615-778-4066
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Fax | 615-778-9114
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Provider Business Mailing Address
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Address Line | 5080 SPECTRUM DR SUITE 1200W
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City | ADDISON
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State | TX
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Zip | 75001-4648
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Country | US
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Telephone | 972-364-8000
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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 | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number | 036088860
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License Number State | IL
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