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General NPI Number Information
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NPI Number | 1679728331
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Entity Type | Individual
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Provider Name | MARCO PAGANI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2008
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Last Update Date | 11/22/2024
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Provider Practice Location Address
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Address Line | 27750 W HIGHWAY 22 STE 105
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City | BARRINGTON
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State | IL
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Zip | 60010-2362
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Country | US
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Telephone | 847-867-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 210 S DESPLAINES ST
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City | CHICAGO
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State | IL
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Zip | 60661-5500
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Country | US
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Telephone | 312-654-2720
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 036133704
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License Number State | IL
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