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General NPI Number Information
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NPI Number | 1780426460
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Entity Type | Individual
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Provider Name | SZYMON ROBERT KASPEREK MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2024
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 800 E CARPENTER BOX 43
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City | SPRINGFIELD
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State | IL
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Zip | 62769-4968
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Country | US
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Telephone | 217-814-5178
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Fax | 217-757-6458
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Provider Business Mailing Address
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Address Line | PO BOX 19636
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City | SPRINGFIELD
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State | IL
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Zip | 62794-9636
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 125084286
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License Number State | IL
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