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General NPI Number Information
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NPI Number | 1760524110
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Entity Type | Individual
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Provider Name | HARRY R PLATT M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 620 WILDWOOD DR
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City | JOLIET
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State | IL
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Zip | 60431-4891
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Country | US
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Telephone | 815-741-3395
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Fax | 815-741-3313
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Provider Business Mailing Address
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Address Line | 620 WILDWOOD DR
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City | JOLIET
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State | IL
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Zip | 60431-4891
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Country | US
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Telephone | 815-741-3395
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Fax | 815-741-3313
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State | IL
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