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General NPI Number Information
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NPI Number | 1801849542
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Entity Type | Individual
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Provider Name | VIRGILIO M. TADURAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/08/2011
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Provider Practice Location Address
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Address Line | 410 CHEYENNE STREET
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City | SATANTA
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State | KS
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Zip | 67870-0009
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Country | US
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Telephone | 620-649-2771
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Fax | 620-649-2538
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Provider Business Mailing Address
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Address Line | PO BOX 9
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City | SATANTA
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State | KS
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Zip | 67870-0009
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Country | US
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Telephone | 620-649-2771
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Fax | 620-649-2538
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-17676
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License Number State | KS
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