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General NPI Number Information
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NPI Number | 1902072895
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Entity Type | Organization
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Legal Business Name | RONALD F ALTMAN MD SC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 27790 WEST HIGHWAY 22 SUITE #4
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City | BARRINGTON
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State | IL
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Zip | 60010-2395
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Country | US
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Telephone | 847-381-7171
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Fax | 847-381-2738
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Provider Business Mailing Address
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Address Line | 27790 WEST HIGHWAY 22 SUITE #4
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City | BARRINGTON
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State | IL
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Zip | 60010-2395
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Country | US
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Telephone | 847-381-7171
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Fax | 847-381-2738
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD F ALTMAN
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Credential | MD
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Telephone | 847-381-7171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | IL
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